Individual provider · Type 1 NPI

Lisa A. Tabenken, NP

Nurse Practitioner · Portland, ME

NPI number 1124018387 Active

Practice location

33 Sewall St
Portland, ME 04102-2603

Mailing address

324 Gannett Dr Ste 200
South Portland, ME 04106-3266

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCNP81696 (ME)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124018387

Lisa A. Tabenken, NP's National Provider Identifier is 1124018387, issued on Oct 27, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, ME. The record was last updated on Oct 21, 2021.