Individual provider · NPI-1

Annika Bannon, MD

Family Medicine · Portland, ME

NPI number1508326471
StatusActive
Last updated in NPPESMay 21, 2026

Details

NPI
1508326471
Entity type
Individual (NPI-1)
Name
Annika Bannon
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2019
Certification date
May 21, 2026
Last updated
May 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD27467MEYes

Practice location

141 W Commercial St
Portland, ME 04102-3905

Phone 207-623-8411 · Fax 207-621-4859

Mailing address

141 W Commercial St
Portland, ME 04102-3905

Phone 207-623-8411 · Fax 207-621-4859

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Portland, ME