Provider Demographics
NPI:1538731393
Name:MAILHOT, CECELIA (FNP-C)
Entity type:Individual
Prefix:
First Name:CECELIA
Middle Name:
Last Name:MAILHOT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WAYMAN LN
Mailing Address - Street 2:
Mailing Address - City:BAR HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04609-1625
Mailing Address - Country:US
Mailing Address - Phone:207-276-3331
Mailing Address - Fax:207-276-8260
Practice Address - Street 1:9 KIMBALL RD
Practice Address - Street 2:
Practice Address - City:NORTHEAST HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04662-6310
Practice Address - Country:US
Practice Address - Phone:207-276-3331
Practice Address - Fax:207-276-8260
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP211171363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily