in Lewiston - Adult Health

- NPI 1578674065

is a Adult Health in Lewiston, Maine. practices all healthcare services and medical treatments related to Adult Health. The NPI Number for is 1578674065. The last update date is .

's current location address is 300 Main St, Lewiston, Maine. You can contact this provider via phone number 2077957575 and fax number 2077957133. The mailing address for is 300 Main St, Lewiston, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 300 Main St, Lewiston, Maine
Phone Number 2077957575
Fax Number 2077957133
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1578674065
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 300 Main St
City Lewiston
State Maine (ME)
Post Code 42407027
Phone Number 2077957575
Fax Number 2077957133

Provider's Primary Taxonomy Detail

Speciality Adult Health
Taxonomy 363La2200X
Licence No R050985
Definition:
An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
431920299 ME --

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