IndividualActive
Auteum Lake, RN, NP-C
NPI 1629594882 · Family Nurse Practitioner · Brewer, ME
Provider details
- NPI number
- 1629594882
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- CNP171055 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
46 Betton St Ste 204
Brewer, ME 04412-2636
Phone: (207) 805-5900
Fax: (207) 544-5107
Approximate (ZIP-level) locationGet directions
Mailing address
46 Betton St Ste 204
Brewer, ME 04412-2636
Additional practice locations (1)
- 425 California St Ste 1400San Francisco, CA 94104-2116Phone: (831) 484-7713
Registry dates
- Enumerated
- 2017-08-19
- Last updated
- 2025-06-26
- Certified
- 2025-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.