Provider Demographics
NPI:1548665193
Name:MEAD, ANNA D (FNP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:D
Last Name:MEAD
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:180 CHURCH HILL RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LEEDS
Mailing Address - State:ME
Mailing Address - Zip Code:04263-3418
Mailing Address - Country:US
Mailing Address - Phone:207-524-3501
Mailing Address - Fax:207-524-2459
Practice Address - Street 1:180 CHURCH HILL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:LEEDS
Practice Address - State:ME
Practice Address - Zip Code:04263-3418
Practice Address - Country:US
Practice Address - Phone:207-524-3501
Practice Address - Fax:207-524-2459
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2018-01-10
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Provider Licenses
StateLicense IDTaxonomies
MECNP141041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1548665193Medicaid
MEE400184971Medicare Oscar/Certification