OrganizationActive
Live Well Direct Primary Care and Consulting
NPI 1619764768 · Primary Care Nurse Practitioner · Cape Elizabeth, ME
Provider details
- NPI number
- 1619764768
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Melissa Bicknell, Owner(207) 939-2376
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
37 Park Cir
Cape Elizabeth, ME 04107-9682
Phone: (207) 939-2376
Fax: (866) 709-3494
Approximate (ZIP-level) locationGet directions
Mailing address
37 Park Cir
Cape Elizabeth, ME 04107-9682
Registry dates
- Enumerated
- 2025-04-22
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.