PATRICIA FAHEY FNP NPI 1114077039

NPI Information

NPI: 1114077039
Provider Name: PATRICIA FAHEY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
887 CONGRESS ST
SUITE 210
PORTLAND, ME
ZIP 04102
Phone: (207) 774-2544
Get Directions

Patricia Fahey, FNP is a family nurse practitioner in Portland, ME. Patricia Fahey, FNP NPI is 1114077039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

887 CONGRESS ST
SUITE 210
PORTLAND, ME
ZIP 04102-100
Phone: (207) 774-2544
Fax: (207) 774-0459

The enumeration date for this NPI number is 1/11/2007 and was last updated on 1/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R034517	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P00616743	MEDICARE PIN	MAINE
2	431740799	MEDICAID	MAINE
3	NP497001	MEDICARE PIN	MAINE
4	30343484	MEDICAID	NEW HAMPSHIRE
5	Q39679	MEDICARE UPIN
6	UX6834	MEDICARE PIN	MAINE
7	NP4970	MEDICARE PIN	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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