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58 ELM ST WATERVILLE ME 49016004
ROWENA TESSMAN is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1073531422. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3072419902. The primary specialty is NURSE PRACTITIONER. The organization is CORNERSTONE BEHAVIORAL HEALTHCARE LLC. The address is 58 ELM ST, , WATERVILLE, ME, 49016004. The zip code is 49016004.
|Nation Provider ID||1073531422|
|PAC ID by PECOS||3072419902|
|Professional Enrollment ID||I20050727000689|
|Medical School Name||OTHER|
|Primary Specialty||NURSE PRACTITIONER|
|All secondary specialties|
|Organization Name||CORNERSTONE BEHAVIORAL HEALTHCARE LLC|
|Group Practice PAC ID||7214097740|
|Number of Group Practice members||37|
|Address||58 ELM ST, , WATERVILLE, ME, 49016004|
|Hospital affiliation LBN|