Maxeen Wyatt is a Specialist in South Portland, Maine. Maxeen Wyatt practices all healthcare services and medical treatments related to Specialist. The NPI Number for Maxeen Wyatt is 1336308188. The last update date is 2008-06-06.
Maxeen Wyatt's current location address is 380 Western Ave, South Portland, Maine. You can contact this provider via phone number 2072825110. The mailing address for Maxeen Wyatt is 380 Western Ave, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maxeen Wyatt |
|---|---|
| Address | 380 Western Ave, South Portland, Maine |
| Phone Number | 2072825110 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MT |
NPI Number Detail
| NPI Number | 1336308188 |
|---|---|
| Provider Enumeration Date | 2008-06-06 |
| Last Updated Date | 2008-06-06 |
Provider Mailing Address Detail
| Address | 380 Western Ave |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41061720 |
| Phone Number | 2072825110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MT3231 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200890 | ME | ANTHEM BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Maxeen Wyatt by the Centers for Medicare & Medicaid Services?
The Maxeen Wyatt has been issued the NPI (National Provider Identifier) 1336308188, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Maxeen Wyatt?
The Maxeen Wyatt is situated at 380 Western Ave, in the city of South Portland, state of ME, with the zip code 41061720.
What is the Maxeen Wyatt's area of specialization and corresponding taxonomy classification?
The Maxeen Wyatt's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When was the Maxeen Wyatt's 1336308188 issued?
The Maxeen Wyatt's 1336308188 was issued on 2008-06-06.
When was the information related to Maxeen Wyatt most recently updated or refreshed?
The details pertaining to the Maxeen Wyatt, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-06.