Doctor Name: | MRS. ALLISON MINA FREEMAN AINSWORTH |
NPI Number: | 1487710505 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 251949 |
Business Practice Address: | 11 Harmony Ln Fort Fairfield, ME - 047423354 |
Business Phone Number: | 2074720590 |
Business Fax Number: | 2074720597 |
Mailing Address: | Po Box 40, CARIBOU |
State: | ME |
Postal Code: | 047360040 |
Phone Number: | 5087767018 |
Fax Number: | |
NPI Enumeration Date: | 01/01/2007 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 251949 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |