Whalio Doctors

NPI 1295324226

Matthew Parent Mitchell, PA

Practitioner Surgical Physician Assistant Auburn, ME

Practice location

Address
15 Gracelawn Rd STE 101, Auburn, ME 04210-6347
Phone
(207) 333-4710
Fax
(207) 333-4715
Mailing address
C/O St Marys Health System - Provider Enrollment PO Box 7291, Lewiston, ME 04243-7291

Registered specialties (3)

Surgical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA2190 (ME)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2190 (ME)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA2190 (ME)

Registry record

NPI
1295324226
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jan 2021
Record last updated
3 Jun 2022

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.