Doctor Name: | DONNA BILODEAU |
NPI Number: | 1134121114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | AP081530 |
Business Practice Address: | 13 Railroad Sq Kennebec Family Practice Waterville, ME - 049016139 |
Business Phone Number: | 2078726869 |
Business Fax Number: | 2078727910 |
Mailing Address: | 13 Railroad Sq, Kennebec Family Practice WATERVILLE |
State: | ME |
Postal Code: | 049016139 |
Phone Number: | 2078726869 |
Fax Number: | 2078727910 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 10/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP081530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |