Provider Demographics
NPI:1124316484
Name:LEMIRE, HEATHER J (WHNP-BC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:J
Last Name:LEMIRE
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE MEDICAL CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005
Mailing Address - Country:US
Mailing Address - Phone:207-282-4270
Mailing Address - Fax:207-282-7350
Practice Address - Street 1:9 HEALTHCARE DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005
Practice Address - Country:US
Practice Address - Phone:207-282-4270
Practice Address - Fax:207-272-7350
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH056674-23363LW0102X
MECNP131017363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1124316484Medicaid
1124316484OtherANTHEM
ME002514602Medicare PIN