TONI M EIMICKE PNP NPI 1518037910

NPI Information

NPI: 1518037910
Provider Name: TONI M EIMICKE, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
887 CONGRESS ST
SUITE 100
PORTLAND, ME
ZIP 04102
Phone: (207) 662-5522
Get Directions

Toni M Eimicke, PNP is a pediatrics nurse practitioner in Portland, ME. Toni M Eimicke, PNP NPI is 1518037910. 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 100
PORTLAND, ME
ZIP 04102
Phone: (207) 662-5522
Fax: (207) 662-5527

The NPI 1518037910 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 12/27/2010.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	RN1011978	DISTRICT OF COLUMBIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	F381826	NEW YORK	No
3	363LP0200X	Nurse Practitioner	Pediatrics	AP091045	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	001858701	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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