Bevin L McNally
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Lewiston, ME
NPI 1558671925 · NPPES record last updated Oct 19, 2010
Key facts
- NPI
- 1558671925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP101002 (ME)
- Practice address
- 1155 Lisbon St
Lewiston, ME 04241-2008 - Phone
- (207) 783-9141
- NPI assigned
- Oct 19, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP101002 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spurwink Services Incorporated | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP101002 | ME | Yes |
Addresses
Primary practice location
1155 Lisbon St
Lewiston, ME 04241-2008
Mailing address
1155 Lisbon St
Lewiston, ME 04241-2008
Phone (207) 783-9141
Other providers in Lewiston, ME
- Matthew Tyler McKinney
- Rachel Stevenson McKinney
- Philip Andrew McLean
- Sarah McLintock
- Maureen E McMackin Daviault
- Michaela Ann McNally
- Amy Jean McNamara
- Carolyn Miles McNamara
- Helen McNelly
- Virginia Samel McNulty
All providers in Lewiston, ME · Psychiatric/Mental Health Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.