Provider Demographics
NPI:1679950463
Name:GERMAN, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:GERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 LANE RD
Mailing Address - Street 2:
Mailing Address - City:NEW SHARON
Mailing Address - State:ME
Mailing Address - Zip Code:04955-3308
Mailing Address - Country:US
Mailing Address - Phone:207-491-7235
Mailing Address - Fax:
Practice Address - Street 1:352 LANE RD
Practice Address - Street 2:
Practice Address - City:NEW SHARON
Practice Address - State:ME
Practice Address - Zip Code:04955-3308
Practice Address - Country:US
Practice Address - Phone:207-491-7235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC45521041C0700X
MA1283021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical