Tetrault, Alison Moore

Tetrault, Alison Moore is an individual health care provider with primary practice located at 17 Bishop St , Portland ME 04103-2659. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tetrault, Alison Moore can be contacted via phone (207) 835-0488.

Contact Information

Primary practice address
17 Bishop St Portland ME 04103-2659
Phone: (207) 835-0488
Fax: (207) 835-0358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 68812 Maine
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP201021 Maine

Profile Details

NPI number 1851935878
LBN Legal business name Tetrault, Alison Moore
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2019
Last updated Nov 26th, 2020 - about 6 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.

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