CAROLYN K GOTHARD FNP NPI 1437155884

NPI Information

  • NPI: 1437155884
  • Provider Name: CAROLYN K GOTHARD, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 735 WILSON ST
    BREWER, ME
    ZIP 04412
  • Phone: (207) 945-5247

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NPI Details

Carolyn K Gothard, FNP is a family nurse practitioner in Brewer, ME. Carolyn K Gothard, FNP NPI is 1437155884. 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:

735 WILSON ST
BREWER, ME
ZIP 04412
Phone: (207) 945-5247
Fax: (207) 990-1248

The enumeration date for this NPI number is 6/21/2005 and was last updated on 7/8/2010.

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
1163W00000XRegistered NurseRO35933MAINENo
2363LF0000XNurse PractitionerFamilyAP081480MAINEYes

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
1MM9086MEDICARE PINMAINE
2256450099MEDICAIDMAINE

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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