Provider Demographics
NPI:1801569488
Name:MALENFANT, CORINNE LEE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:CORINNE
Middle Name:LEE
Last Name:MALENFANT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:LEE
Other - Last Name:KEENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 SCHOOL HOUSE RD STE 26
Mailing Address - Street 2:
Mailing Address - City:ORLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04472-3966
Mailing Address - Country:US
Mailing Address - Phone:207-702-9201
Mailing Address - Fax:207-702-9194
Practice Address - Street 1:21 SCHOOL HOUSE RD STE 26
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:ME
Practice Address - Zip Code:04472-3966
Practice Address - Country:US
Practice Address - Phone:207-702-9201
Practice Address - Fax:207-702-9194
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP211373363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily