Provider Demographics
NPI:1821079252
Name:SOLMITZ, DORIS D (NP)
Entity Type:Individual
Prefix:MS
First Name:DORIS
Middle Name:D
Last Name:SOLMITZ
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:PO BOX 355
Mailing Address - Street 2:
Mailing Address - City:READFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04355-0355
Mailing Address - Country:US
Mailing Address - Phone:207-685-9323
Mailing Address - Fax:
Practice Address - Street 1:250 ARSENAL STREET
Practice Address - Street 2:11 SHS
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04333-0011
Practice Address - Country:US
Practice Address - Phone:207-624-4717
Practice Address - Fax:207-287-6123
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER019850363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEP73002Medicare UPIN