SALLY S STOTHOFF FNP NPI 1366439929

NPI Information

NPI: 1366439929
Provider Name: SALLY S STOTHOFF, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
180 KENNEDY MEMORIAL DR
SUITE 204
WATERVILLE, ME
ZIP 04901
Phone: (207) 872-5529
Get Directions

Sally S Stothoff, FNP is a family nurse practitioner in Waterville, ME. Sally S Stothoff, FNP NPI is 1366439929. 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:

180 KENNEDY MEMORIAL DR
SUITE 204
WATERVILLE, ME
ZIP 04901-540
Phone: (207) 872-5529
Fax: (207) 872-9219

The enumeration date for this NPI number is 9/29/2005 and was last updated on 5/23/2016.

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	R024050	MAINE	No
2	363LF0000X	Nurse Practitioner	Family	CNP81238	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	Other Provider Identifier Issuer
1	040915	OTHER	MAINE	ANTHEM
2	AA21889	OTHER	MAINE	HARVARD PILGRIM HEALTHCA
3	P00066199	OTHER	MAINE	RAILROAD MEDICARE
4	TX3954	MEDICARE PIN	MAINE
5	P20855	MEDICARE UPIN	MAINE
6	284350099	MEDICAID	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »