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

Lydia J Harris, NNP

Individual provider Critical Care Neonatal Nurse Practitioner · NPI 1609830884

Lydia J Harris, NNP is a Nurse Practitioner in Portland, Maine. Qualified in 2021, 5 years ago. Licensed in Georgia, Maine and Wisconsin.

Years since qualifying
5
Licensed in
GA, ME, WI
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-2273
Fax: (207) 662-6324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X · Licence CNP241194 (ME)
Critical Care Neonatal Nurse Practitioner Taxonomy 363LN0005X · Licence RN081306 (GA)
Critical Care Neonatal Nurse Practitioner Taxonomy 363LN0005X · Licence 2451 (WI)

Record details

NPI number1609830884
Entity typeIndividual (Type 1)
GenderFemale
Credentials NNP
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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