Provider Demographics
NPI:1982003208
Name:BABINEAUX, SIMMONE LOUISE (FNP)
Entity type:Individual
Prefix:
First Name:SIMMONE
Middle Name:LOUISE
Last Name:BABINEAUX
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 MAIN ST UNIT 566
Mailing Address - Street 2:
Mailing Address - City:BLUE HILL
Mailing Address - State:ME
Mailing Address - Zip Code:04614-1722
Mailing Address - Country:US
Mailing Address - Phone:337-519-9920
Mailing Address - Fax:
Practice Address - Street 1:104 MAIN ST UNIT 566
Practice Address - Street 2:
Practice Address - City:BLUE HILL
Practice Address - State:ME
Practice Address - Zip Code:04614-1722
Practice Address - Country:US
Practice Address - Phone:337-519-9920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-22
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP221551207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine