Individual provider · Type 1 NPI

Nicolas Robert Fenton, PA

Physician Assistant · Portland, ME

NPI number 1760079503 Active

Practice location

331 Veranda St
Portland, ME 04103-5545

Mailing address

PO Box 9746
Portland, ME 04104-5040

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2331 (ME)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760079503

Nicolas Robert Fenton, PA's National Provider Identifier is 1760079503, issued on Dec 28, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, ME. The record was last updated on Mar 26, 2026.