| Shannon Rene Stewart, CNP | |
|
56 Bangor St, Houlton, ME 04730-1641 | |
| (207) 521-0022 | |
| Not Available |
| Full Name | Shannon Rene Stewart |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 56 Bangor St, Houlton, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649772237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP2201X | Registered Nurse - Ambulatory Care | RN51503 (Maine) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CNP201001 (Maine) | Primary |
| Entity Name | Katahdin Valley Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376618546 PECOS PAC ID: 4880659903 Enrollment ID: O20041130000688 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Rene Stewart, CNP 529 S Patten Rd, Patten, ME 04765-3007 Ph: (207) 538-3700 | Shannon Rene Stewart, CNP 56 Bangor St, Houlton, ME 04730-1641 Ph: (207) 521-0022 |
Kaitlin Anne Koppel, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-3289 | |
Mrs. Linda Haines Self, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-3289 Fax: 207-532-6071 | |
Jamieson F Romanelli, PMHNP/MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 59 Bangor St, Houlton, ME 04730 Phone: 207-538-3700 Fax: 207-528-2595 | |
Ekatherina Diadiuk, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 59 Bangor St, Houlton, ME 04730 Phone: 207-538-3700 | |
Tory Rouse, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-7936 Fax: 207-532-7937 | |
Nancy Y Putnam, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-3289 Fax: 207-532-6071 | |
Mrs. Kristin M Gallop, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 59 Bangor St, Houlton, ME 04730 Phone: 207-538-3700 |