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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

SUSAN LIDSTONE
12 UNION ST
ROCKLAND, ME04841-2739
 Phone: 207-701-4400
 Fax: 207-701-4486
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SUSAN LIDSTONE · (Female)

NPI Number 1548356900
Credentials
Entity Individual
Enumeration date 10/05/2006
Last updated 09/10/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
ME License # CNP81772
ME License # CNS84119
ME License # RN20742
ME Medicaid 257440099
Hospital affiliation(s)
  • PENOBSCOT BAY MEDICAL CENTER - (Acute Care)
    6 GLEN COVE DRIVE
    ROCKPORT, ME 04856
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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