Provider Demographics
NPI:1629752449
Name:MURCH, CHELCIE (NP)
Entity Type:Individual
Prefix:
First Name:CHELCIE
Middle Name:
Last Name:MURCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 PORTLAND RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04009-4234
Mailing Address - Country:US
Mailing Address - Phone:207-776-4444
Mailing Address - Fax:
Practice Address - Street 1:2 GREAT FALLS PLZ UNIT 9998
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-5898
Practice Address - Country:US
Practice Address - Phone:207-330-3950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP231154363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily