IndividualActive
Marisa Stevens
NPI 1104461151 · Women's Health Nurse Practitioner · Portland, ME
Provider details
- NPI number
- 1104461151
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 081681-23 (NH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
443 Congress St Fl 2
Portland, ME 04101-3531
Phone: (866) 476-1321
Fax: (802) 660-9437
Approximate (ZIP-level) locationGet directions
Mailing address
784 Hercules Dr Ste 110
Colchester, VT 05446-8049
Registry dates
- Enumerated
- 2019-11-14
- Last updated
- 2021-09-23
- Certified
- 2021-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.