Basic Information
| Provider Information | |||||||||
| NPI: | 1225006778 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALBERT | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 460 MAIN STREET | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | MADAWASKA | ||||||||
| State: | ME | ||||||||
| PostalCode: | 04756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2077286359 | ||||||||
| FaxNumber: | 2077287614 | ||||||||
| Practice Location | |||||||||
| Address1: | 4 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | VAN BUREN | ||||||||
| State: | ME | ||||||||
| PostalCode: | 047851009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2078682796 | ||||||||
| FaxNumber: | 2078682799 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2006 | ||||||||
| LastUpdateDate: | 11/09/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | R043674 | ME | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363L00000X | AP081203 | ME | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.