Tukey, Deidre P

Tukey, Deidre P is an individual health care provider with primary practice located at 1012 Union St , Bangor ME 04401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Tukey, Deidre P can be contacted via phone (207) 945-5247.

Contact Information

Primary practice address
1012 Union St Bangor ME 04401
Phone: (207) 945-5247
Fax: (207) 990-1248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X R024915 Maine
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X AS084058 Maine

Profile Details

NPI number 1902906662
LBN Legal business name Tukey, Deidre P
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Jul 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902906662 NPPES
Maine MEDICAID 432298799

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