Provider Demographics
NPI:1225006778
Name:ALBERT, STEVEN (FNP)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:ALBERT
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 MAIN STREET
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MADAWASKA
Mailing Address - State:ME
Mailing Address - Zip Code:04756
Mailing Address - Country:US
Mailing Address - Phone:207-728-6359
Mailing Address - Fax:207-728-7614
Practice Address - Street 1:4 MAIN ST
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:ME
Practice Address - Zip Code:04785-1009
Practice Address - Country:US
Practice Address - Phone:207-868-2796
Practice Address - Fax:207-868-2799
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER043674363L00000X
MEAP081203363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P93711Medicare UPIN