Provider Demographics
NPI:1932117314
Name:CURTIS, SANDE L (FNP)
Entity Type:Individual
Prefix:MS
First Name:SANDE
Middle Name:L
Last Name:CURTIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5721 CUTLER HEALTH CTR
Mailing Address - Street 2:
Mailing Address - City:ORONO
Mailing Address - State:ME
Mailing Address - Zip Code:04469-5721
Mailing Address - Country:US
Mailing Address - Phone:207-581-4000
Mailing Address - Fax:207-581-9512
Practice Address - Street 1:5721 CUTLER HEALTH CTR
Practice Address - Street 2:
Practice Address - City:ORONO
Practice Address - State:ME
Practice Address - Zip Code:04469-5721
Practice Address - Country:US
Practice Address - Phone:207-581-4000
Practice Address - Fax:207-581-9512
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER040500363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME3117730099Medicaid
R56121Medicare UPIN
NP449002Medicare PIN
ME3117730099Medicaid