Provider Demographics
NPI:1558760801
Name:WERNER, CARRIE M (ND)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:M
Last Name:WERNER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-2582
Mailing Address - Country:US
Mailing Address - Phone:207-389-4372
Mailing Address - Fax:
Practice Address - Street 1:92 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530
Practice Address - Country:US
Practice Address - Phone:207-389-4372
Practice Address - Fax:888-975-8208
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X, 176B00000X
MENP499175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No374J00000XNursing Service Related ProvidersDoula
No176B00000XOther Service ProvidersMidwife