| Mr Brien Carl Davis, FNP | |
|
77 Elm St Ste 4, Camden, ME 04843-1904 | |
| (207) 236-2201 | |
| (207) 236-2203 |
| Full Name | Mr Brien Carl Davis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 77 Elm St Ste 4, Camden, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871695619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CNP81369 (Maine) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R028675 (Maine) | Secondary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brien Carl Davis, FNP 77 Elm St Ste 4, Camden, ME 04843-1935 Ph: (207) 236-2201 | Mr Brien Carl Davis, FNP 77 Elm St Ste 4, Camden, ME 04843-1904 Ph: (207) 236-2201 |
Mrs. Kathleen A Dishner, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 62 Bayview St Unit 23, Camden, ME 04843 Phone: 207-706-4163 Fax: 207-706-4172 | |
Jennifer Anne Shultz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Community Dr, Camden, ME 04843 Phone: 207-301-6280 Fax: 207-301-6108 | |
Michele B Gagnon, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Community Dr, Camden, ME 04843 Phone: 207-301-6212 |