Provider Demographics
NPI:1861558488
Name:WEIR, DORIE ANNE (FNP)
Entity type:Individual
Prefix:MISS
First Name:DORIE
Middle Name:ANNE
Last Name:WEIR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:DORIE
Other - Middle Name:ANNE
Other - Last Name:HENNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:150 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:ISLESBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04848-4508
Mailing Address - Country:US
Mailing Address - Phone:207-734-2213
Mailing Address - Fax:207-734-8392
Practice Address - Street 1:150 MAIN RD
Practice Address - Street 2:
Practice Address - City:ISLESBORO
Practice Address - State:ME
Practice Address - Zip Code:04848-4508
Practice Address - Country:US
Practice Address - Phone:207-734-2213
Practice Address - Fax:207-734-8392
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP81227363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NP4002Medicare ID - Type Unspecified
NP400202Medicare PIN