Individual
CYNTHIA LOUISE LEVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
29 CHURCH ST, DEXTER, ME 04930-1320
(207) 924-5200
Mailing address
446 RIPLEY RD, SAINT ALBANS, ME 04971-7524
(207) 277-3055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP091054
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001469401
MEDICARE PTAN
ME
05
—
434979199
—
ME
01
—
C22673
RAILROAD MEDICARE
ME
Enumeration date
08/27/2007
Last updated
05/14/2013
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