Heidi Theriault, RN
Registered Nurse in Lincoln, ME. Individual provider (NPI-1).
NPI number1295500973
StatusActive
Last updated in NPPESNov 22, 2023
Details
- NPI
- 1295500973
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heidi Theriault
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2023
- Certification date
- Nov 22, 2023
- Last updated
- Nov 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN42305 | ME | Yes |
Practice location
35 Furrough LnLincoln, ME 04457-4317
Phone 207-290-3437
Mailing address
35 Furrough LnLincoln, ME 04457-4317
Phone 207-290-3437
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