Pro-Elder Consulting LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP101030 Issued in ME

Legal business name

PRO-ELDER CONSULTING LLC

Practice address

7 Highwood St
Waterville, ME 04901-5739

Phone

(207) 873-0705

Fax

(855) 738-7685

NPI assigned

Feb 15, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martha Anne Eastman, NP-C

Title

Owner

Phone

(207) 944-2523

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1194225292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HIGHWOOD ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015739",
            "telephone_number": "207-873-0705",
            "fax_number": "855-738-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HIGHWOOD ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015739",
            "telephone_number": "207-873-0705",
            "fax_number": "855-738-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-ELDER CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-944-2523",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP101030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Poulin
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• Prestige Care Group
• Helen T Price-Wharff, FNP
• Nancy L. Priest, LCPC
• Laurie A Proctor-Lefebvre, LCSW
• Project Peds-Child Development
• Kira Watson Pushard, CNP
• James R Putnam, M.D.
• Lindsay Jewel Quirion

• Family Nurse Practitioner in Waterville, ME
• Providers in Waterville, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.