Evergreen Healing Center, LLC
NPI 1578892147ActiveOrganization· Nurse Practitioner, Family· Bangor, ME
Nurse Practitioner, Family in Bangor, Maine, registered in NPPES in December 2009. The authorized official on file is Laura Tremaine Bridgman, FNP, Family Nurse Practitioner.
Overview
| NPI | 1578892147 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 10, 2009 |
| Last updated in NPPES | Oct 26, 2020 |
| Certified by provider | Oct 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Naturopath | 175F00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | AP081246 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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