| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANGELA MARIE HAINER | 1609209766 | 2024-09-06 |
Angela M Jagoutz [F] graduated in 2013 and primarily specializes in Nurse Practitioner.
Angela Marie Hainer is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1609209766. Registration indicates Angela Marie Hainer is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Registered Nurse First Assistant, ) (Registered Nurse Registered Nurse First Assistant, Nursing Service Providers) (Registered Nurse, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 345475893 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Angela Marie Hainer NP |
| Other Provider Name | Angela Jagoutz |
| Practice Office Address | 5 BUCKNAM RD SUITE 1D FALMOUTH, ME US |
| Practice Office Telephone | 2077811551 |
| Practice Office Fax | 2077811552 |
| Mailing Address | 5 BUCKNAM RD STE 1D FALMOUTH, ME 041051208 US |
| Business Telephone | 2077811551 |
| Business Fax | 2077811552 |
| Code | Practice | License No State |
|---|---|---|
| 163WR0006X | Nursing Service Providers Registered Nurse Registered Nurse: Registered Nurse First Assistant Registered Nurse Registered Nurse First Assistant Nursing Service Providers Registered Nurse | RN47011
ME |
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | CNP131068
ME |