Bacon, Heather Elisabeth

Bacon, Heather Elisabeth is an individual health care provider with primary practice located at 163 Edwards St , Portland ME 04102-2539. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Bacon, Heather Elisabeth can be contacted via phone (619) 401-3712.

Contact Information

Primary practice address
163 Edwards St Portland ME 04102-2539
Phone: (619) 401-3712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 622397 California
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1235261389
LBN Legal business name Bacon, Heather Elisabeth
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Aug 6th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers