Patrice Aime Nya

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

PI12641 Issued in ME

Practice address

201 Husson Ave Apt U12
Bangor, ME 04401-3168

Phone

(240) 646-4263

NPI assigned

Jul 2, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1477817682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HUSSON AVE APT U12",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013168",
            "telephone_number": "240-646-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HUSSON AVE APT U12",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013168",
            "telephone_number": "240-646-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYA",
        "first_name": "PATRICE",
        "middle_name": "AIME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ME",
            "license": "PI12641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kersten C Noyes, FNP
• Cynthia L Nulton, AUD
• Bakhtier Nurmukhamedov, M.D.
• Matthew J Nutt, LCSW
• Stephanie A Nutt, PMHNP
• Mbinze Sume Nzuonkwelle
• Benjamin Heath O'Brien, DO
• Daniel K O'Brien, MD
• Makayla O'Connor, FNP-C
• Nancy C O'Connor, PAC

• All providers in Bangor, ME
• Student in an Organized Health Care Education/Training Program in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.