DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AILENE NICOLE BERRY

Active Sole Proprietor

Physician Assistant · PORTLAND, ME

Registration Details

NPI Number
1548049208
Provider Type
Individual
Gender
Female
NPI Issued
Sep 22, 2023 (2.5800797776264 yrs)
Last Updated
Sep 22, 2023
Sole Proprietor
Yes

Practice Information

Address
716 STEVENS AVE
PORTLAND, ME, 041032656
Browse ME providers · Browse ZIP 04103
Phone
2072830171
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORTLAND, ME

Name Credential NPI
ROBERT KLOTZ PA 1467447847
MRS. SARAH BLACK WIESENDANGER PATTON PA-C 1952391435
MS. LORI A NILAND PA-C 1003893108
MS. LEAH DEANDREA WALDMAN PAC 1871560821
MS. LORRAINE LALIBERTE PAC 1982673638
MR. STEVEN C. BLESSINGTON PA, MHP 1841259900
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.