Vianna, Andrea L

Vianna, Andrea L is an individual health care provider with primary practice located at 59 Bangor St , Houlton ME 04730-1740. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vianna, Andrea L can be contacted via phone (207) 528-2285.

Contact Information

Primary practice address
59 Bangor St Houlton ME 04730-1740
Phone: (207) 528-2285
Fax: (207) 528-2880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 212532 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD21214 Maine

Profile Details

NPI number 1164501151
LBN Legal business name Vianna, Andrea L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164501151 NPPES
Colorado MEDICAID 78770254
Colorado MEDICAID 01858699

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