Provider Demographics
NPI:1558423186
Name:CURTIN, CONSTANCE M (CNM)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:M
Last Name:CURTIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 UNION STREET
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605
Mailing Address - Country:US
Mailing Address - Phone:207-664-5304
Mailing Address - Fax:207-664-5305
Practice Address - Street 1:306 MAIN STREET
Practice Address - Street 2:MAINE COAST WOMEN CARE
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605
Practice Address - Country:US
Practice Address - Phone:207-664-5650
Practice Address - Fax:207-664-5651
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER044195176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432465499Medicaid
S91364Medicare UPIN
ME001381902Medicare PIN
RE5497Medicare PIN
ME432465499Medicaid