Provider Demographics
NPI:1285800797
Name:STINCHFIELD, MARY YVONNE (FNP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:YVONNE
Last Name:STINCHFIELD
Suffix:
Gender:F
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:PO BOX 1515
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:ME
Mailing Address - Zip Code:04055-1515
Mailing Address - Country:US
Mailing Address - Phone:207-693-3912
Mailing Address - Fax:
Practice Address - Street 1:4 MESERVE ST
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:ME
Practice Address - Zip Code:04055-5346
Practice Address - Country:US
Practice Address - Phone:207-693-3912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER017478363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily