Provider Demographics
NPI:1922051903
Name:TENNEY, ZOE ROBBINS (FNP)
Entity Type:Individual
Prefix:MS
First Name:ZOE
Middle Name:ROBBINS
Last Name:TENNEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ZOE
Other - Middle Name:
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:57 WATER STREET
Mailing Address - Street 2:
Mailing Address - City:BLUE HILL
Mailing Address - State:ME
Mailing Address - Zip Code:04614
Mailing Address - Country:US
Mailing Address - Phone:207-374-2311
Mailing Address - Fax:207-374-3991
Practice Address - Street 1:57 WATER ST
Practice Address - Street 2:
Practice Address - City:BLUE HILL
Practice Address - State:ME
Practice Address - Zip Code:04614
Practice Address - Country:US
Practice Address - Phone:207-374-2311
Practice Address - Fax:207-374-3991
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP81298363LF0000X
MERN46564163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME267960099Medicaid
MENP394601Medicare PIN
MEP70809Medicare UPIN
ME267960099Medicaid
RONP3946Medicare PIN
MENP394602Medicare PIN