Tiedeken, Lois

Tiedeken, Lois is an individual health care provider with primary practice located at 84 Marginal Way Suite 800, Portland ME 04101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tiedeken, Lois can be contacted via phone (207) 774-5816.

Contact Information

Primary practice address
84 Marginal Way Suite 800 Portland ME 04101
Phone: (207) 774-5816
Fax: (207) 523-8595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 022855 Maine

Profile Details

NPI number 1326017070
LBN Legal business name Tiedeken, Lois
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Nov 23rd, 2010 - about 16 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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