Individual
SALLY S STOTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
180 KENNEDY MEMORIAL DR, SUITE 204, WATERVILLE, ME 04901-4540
(207) 872-5529
(207) 872-9219
Mailing address
180 KENNEDY MEMORIAL DR, SUITE 204, WATERVILLE, ME 04901-4540
(207) 872-5529
(207) 872-9219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81238
ME
363LF0000X
Family Nurse Practitioner
R024050
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040915
ANTHEM
ME
05
—
284350099
—
ME
01
—
AA21889
HARVARD PILGRIM HEALTHCA
ME
01
—
P00066199
RAILROAD MEDICARE
ME
Enumeration date
09/29/2005
Last updated
05/23/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us