Provider Demographics
NPI:1629317466
Name:BEEMER, MARGO ANN (FNP-BC)
Entity type:Individual
Prefix:
First Name:MARGO
Middle Name:ANN
Last Name:BEEMER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 PARK ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7129
Mailing Address - Country:US
Mailing Address - Phone:808-698-6894
Mailing Address - Fax:866-332-8274
Practice Address - Street 1:75 PARK ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7129
Practice Address - Country:US
Practice Address - Phone:808-698-6894
Practice Address - Fax:866-332-8274
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1545363LF0000X
MECNP131075363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN