Alissa Elizabeth Berryman
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Edgecomb, ME
NPI 1639733850 · NPPES record last updated Apr 23, 2019
Key facts
- NPI
- 1639733850
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 079592-23 (NH)
- Practice address
- 321 Shore Rd
Edgecomb, ME 04556-3204 - Phone
- (207) 350-6408
- NPI assigned
- Apr 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN67208 | ME | MD | Registered Nurse |
| 079592-23 | NH | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN67208 | ME | |
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 079592-23 | NH | Yes |
Addresses
Primary practice location
321 Shore Rd
Edgecomb, ME 04556-3204
Mailing address
321 Shore Rd
Edgecomb, ME 04556-3204
Phone (207) 350-6408
Other providers in Edgecomb, ME
- Eldercare Network of Lincoln County
- Diana Lyn James
- Mid-Coast Family Wellness Center, LLC
- Jeni Nagy
- Laurie J Robinson
All providers in Edgecomb, 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 Apr 23, 2019. 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.