DEIRDRE L BENNETT NP CNM NPI 1952318339

NPI Information

NPI: 1952318339
Provider Name: DEIRDRE L BENNETT, NP, CNM
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
22 BRAMHALL ST
MAINE MEDICAL CENTER - INTERNAL MEDICINE CLINIC
PORTLAND, ME
ZIP 04102
Phone: (207) 662-2911
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Deirdre L Bennett, NP, CNM is a family nurse practitioner in Portland, ME. Deirdre L Bennett, NP, CNM NPI is 1952318339. 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:

22 BRAMHALL ST
MAINE MEDICAL CENTER - INTERNAL MEDICINE CLINIC
PORTLAND, ME
ZIP 04102-134
Phone: (207) 662-2911
Fax: (207) 662-6308

The enumeration date for this NPI number is 8/1/2006 and was last updated on 2/13/2013.

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	367A00000X	Advanced Practice Midwife		CNM82024	MAINE	No
2	363LF0000X	Nurse Practitioner	Family	CNP81541	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	001498101	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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