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Contact Information

NICOLE A BRZEZINSKI, PA-C
25 JUNE ST
SANFORD, ME04073-2621
 Phone: 207-490-3100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE A BRZEZINSKI · (Female)

NPI Number 1144475781
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/24/2008
Last updated 09/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ME License # PA1812
  • PA License # MA053740
Hospital affiliation(s)
  • SOUTHERN MAINE MEDICAL CENTER - (Acute Care)
    1 MEDICAL CENTER DRIVE
    BIDDEFORD, ME 04005
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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