Provider Demographics
NPI:1134131493
Name:CECI ZEREGA, RN, MSN, CS, INC
Entity type:Organization
Organization Name:CECI ZEREGA, RN, MSN, CS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CECI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEREGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, CS
Authorized Official - Phone:207-846-0191
Mailing Address - Street 1:531 LEDGE RD
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-7524
Mailing Address - Country:US
Mailing Address - Phone:207-846-0191
Mailing Address - Fax:
Practice Address - Street 1:500 ROUTE 1
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-4711
Practice Address - Country:US
Practice Address - Phone:207-846-0191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER036043364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MECEQ30000Medicare ID - Type Unspecified