PATRICIA FAHEY FNP NPI 1114077039

NPI Information

  • NPI: 1114077039
  • Provider Name: PATRICIA FAHEY, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 887 CONGRESS ST
    SUITE 210
    PORTLAND, ME
    ZIP 04102
  • Phone: (207) 774-2544

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NPI Details

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
1363LF0000XNurse PractitionerFamilyR034517MAINEYes

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 Other Provider Identifier Issuer
1P00616743MEDICARE PINMAINE
2431740799MEDICAIDMAINE
3NP497001MEDICARE PINMAINE
430343484MEDICAIDNEW HAMPSHIRE
5Q39679MEDICARE UPIN
6UX6834MEDICARE PINMAINE
7NP4970MEDICARE PINMAINE

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: 11/21/2025

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