NPI 1710461330

Elijah Graham Weikel

Practitioner Nurse's Aide Houlton, ME

Practice location

Address: 59 Bangor St, Houlton, ME 04730-1740
Phone: (207) 538-3700
Fax: (207) 528-2595
Mailing address: 529 S Patten Rd, Patten, ME 04765-3007

Registered specialties (2)

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT5782 (ME)

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Registry record

NPI: 1710461330
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2018
Record last updated: 9 Sep 2020

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.