LIVE WELL DIRECT PRIMARY CARE AND CONSULTING; NPI #1619764768

Contact Information

LIVE WELL DIRECT PRIMARY CARE AND CONSULTING

37 PARK CIR
CAPE ELIZABETH, ME 04107-9682

Phone: 207-939-2376
Fax: 866-709-3494
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	363LP2300X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for LIVE WELL DIRECT PRIMARY CARE AND CONSULTING

NPI Number	`1619764768`
LBN Legal business name	LIVE WELL DIRECT PRIMARY CARE AND CONSULTING
Authorized official	MELISSA BICKNELL - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/22/2025
Last updated	04/22/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LIVE WELL DIRECT PRIMARY CARE AND CONSULTING

Contact Information

Specialty

Primary Care

NPI Profile & details for LIVE WELL DIRECT PRIMARY CARE AND CONSULTING

Reviews for LIVE WELL DIRECT PRIMARY CARE AND CONSULTING