LISA ANN THERIAULT FNP
NPI 1720554611
Nurse Practitioner - Family in Waterville, ME
About Lisa Ann Theriault Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA ANN THERIAULT FNP (NPI 1720554611) is an individual family provider in Waterville, Maine, licensed in Maine (CNP181186) and active in the NPI registry since October 2018.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERVILLE, ME 04901
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 Lisa Theriault's NPI number?
The NPI number for Lisa Theriault is 1720554611. It was assigned to this individual provider in the NPPES registry on October 17, 2018.
Where is Lisa Theriault located?
Lisa Theriault practices at 7 Highwood St, Waterville, ME 04901. The listed phone number is (207) 873-0705.
What is Lisa Theriault's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Lisa Theriault was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Lisa Ann Theriault, FNP · NPI 1720554611
Family physician in Waterville, Maine. Individual provider, active in the CMS NPPES registry since October 17, 2018.
## Identity
- **NPI:** 1720554611 (Entity type: Individual)
- **Enumerated:** October 17, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP181186 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7 HIGHWOOD ST, Waterville, ME 04901-5739
- **Phone:** (207) 873-0705
## Record status
- **NPPES last updated:** October 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1720554611) · Data from the CMS NPPES public registry.