Provider Demographics
NPI:1346441433
Name:PARIS, MARIE KATHERINE (RN C)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:KATHERINE
Last Name:PARIS
Suffix:
Gender:F
Credentials:RN C
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:KATHERINE
Other - Last Name:GAYDOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 WOODSIDE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-1625
Mailing Address - Country:US
Mailing Address - Phone:207-784-7789
Mailing Address - Fax:
Practice Address - Street 1:306 PINE ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6309
Practice Address - Country:US
Practice Address - Phone:207-783-4658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME208720163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse