Integrative Therapies for Cancer & Chronic Disease Inc
NPI 1063851046ActiveOrganization· Nurse Practitioner, Family· Portland, ME
Nurse Practitioner, Family in Portland, Maine, registered in NPPES in June 2013. The authorized official on file is Colleen Tetzlaff, DNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063851046 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2013 |
| Last updated in NPPES | May 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | NP548701 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ME) |
|---|
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