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Contact Information

ELIZABETH A PAVAO, FNP, RNFA
22 BRAMHALL ST
PORTLAND, ME04102-3134
 Phone: 207-662-2934
 Fax: 207-662-6389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for ELIZABETH A PAVAO · (Female)

NPI # 1932202082
Status Active
Credentials FNP, RNFA
Entity Individual
Enumeration date 09/06/2006
Last updated 09/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 11680
  • ME License # CNP81333
  • ME License # RN45048
  • ME Medicaid 283620099
  • NH Medicaid 30343076
Hospital affiliation(s)
  • MAINE MEDICAL CENTER - (Acute Care)
    22 BRAMHALL ST
    PORTLAND, ME 04102
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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