NPI 1124314513
Erin R van Wagenen, MD
Practice location
- Address
- 12 High St STE 302, Lewiston, ME 04240-7690
- Phone
- (207) 795-5730
- Fax
- (207) 795-5749
Registered specialties
Pediatrics Physician
Primary
Registry record
- NPI
- 1124314513
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Jun 2011
- Record last updated
- 6 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.