Provider Demographics
NPI:1518927383
Name:PIPER, NATANIA (DO)
Entity Type:Individual
Prefix:
First Name:NATANIA
Middle Name:
Last Name:PIPER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-0040
Mailing Address - Country:US
Mailing Address - Phone:207-498-2359
Mailing Address - Fax:207-498-3947
Practice Address - Street 1:74 ACCESS HWY
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-3807
Practice Address - Country:US
Practice Address - Phone:207-498-6851
Practice Address - Fax:207-492-5791
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6576208800000X
ME01973208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI04979Medicare UPIN
TX8B6854Medicare ID - Type Unspecified