Mather, Leeanne S

Mather, Leeanne S is an individual health care provider with primary practice located at 161 Marginal Way , Portland ME 04101-2438. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mather, Leeanne S can be contacted via phone (207) 773-7964.

Contact Information

Primary practice address
161 Marginal Way Portland ME 04101-2438
Phone: (207) 773-7964
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP251652 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 064302-23 New Hampshire

Profile Details

NPI number 1669722013
LBN Legal business name Mather, Leeanne S
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2012
Last updated Dec 30th, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669722013 NPPES
New Hampshire MEDICAID 3078641

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