Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Owen Vanderpool Davis, FNP-C

Individual provider Family Nurse Practitioner · NPI 1083361026

Owen Vanderpool Davis, FNP-C is a Nurse Practitioner in Scarborough, Maine. Qualified in 2021, 5 years ago. Practices with Mainehealth, a 2,615-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
5
Licensed in
ME
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

92 Campus Dr Ste A
Scarborough, ME 04074-7133
Phone: (207) 885-0011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP211303 (ME)

Record details

NPI number1083361026
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 9, 2022
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022

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)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Scarborough