Doctor Name: | ROWENA TESSMANN |
NPI Number: | 1073531422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMH-NP, PH.D. |
License Number: | R038001 |
Business Practice Address: | 58 Elm St. Waterville, ME - 04901 |
Business Phone Number: | 2076802065 |
Business Fax Number: | 2076802068 |
Mailing Address: | 58 Elm St., WATERVILLE |
State: | ME |
Postal Code: | 04901 |
Phone Number: | 2076802065 |
Fax Number: | 2076802068 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | R038001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |