Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riversedge Wellness

Organization General Practice Physician · NPI 1407605124

Riversedge Wellness is a General Practice Physician in Old Town, Maine. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

227 Main St
Old Town, ME 04468-1470
Phone: (207) 827-5951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1407605124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Sanborn — Office Manager · (207) 570-9307
NPI enumeratedMay 15, 2024
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024
Mailing address227 Main St, Old Town, ME 04468-1470

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