BETTY BRICKER SMALL ANP
NPI 1164461307
Nurse Practitioner - Adult Health in Portland, ME

Active since June 05, 2006
50 SEWALL ST, PORTLAND, ME 04102(207) 775-3526(207) 775-5658 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Betty Bricker Small Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETTY BRICKER SMALL ANP (NPI 1164461307) is an individual adult health provider in Portland, Maine, licensed in Maine (R035597) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1164461307
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameBETTY BRICKER SMALLCredential: ANP
Location Address50 SEWALL STPortland, ME 04102-2624
Mailing Address50 Sewall StPortland, ME 04102-2624 · (207) 775-3526 · Fax (207) 775-5658
Fax(207) 775-5658
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164461307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in ME · R035597
50 SEWALL ST, Portland, ME 04102

Other Identifiers 2

Medicare UPINQ71347ME
Medicare ID-Type UnspecifiedNP5419ME

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology (MOHS-Micrographic Surgery)
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102
Physician Assistant (Medical)
50 SEWALL ST, SUITE 301
PORTLAND, ME 04102
Physician Assistant
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102
Nurse Practitioner (Family)
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Betty Small's NPI number?

The NPI number for Betty Small is 1164461307. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Betty Small located?

Betty Small practices at 50 Sewall St, Portland, ME 04102. The listed phone number is (207) 775-3526.

What is Betty Small's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Betty Small was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.