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Contact Information

LISA M ENO, FNP
197 EAST MAIN STREET
SUITE 101
FORT KENT, ME04743
 Phone: 207-834-6784
 Fax: 207-834-2967
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LISA M ENO · (Female)

NPI Number 1003898677
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 11/18/2005
Last updated 01/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • ME License # AP081368
  • ME License # R034632
  • ME Medicaid 266740099
  • ME Medicaid 999010617
  • Other D46407 ANTHEM
Hospital affiliation(s)
  • NORTHERN MAINE MEDICAL CENTER - (Acute Care)
    194 E MAIN STREET
    FORT KENT, ME 04743
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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