Mary P Delois, RN,MSN,F.N.P.-C
Nurse Practitioner, Family in South Portland, ME. Individual provider (NPI-1).
NPI number1003963232
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003963232
- Entity type
- Individual (NPI-1)
- Name
- Mary P Delois
- Credential
- RN,MSN,F.N.P.-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R023829 | ME | Yes |
Practice location
260 Western AveSouth Portland, ME 04106-2432
Phone 207-761-4700 · Fax 207-761-4744
Mailing address
125 Bancroft StPortland, ME 04102-2028
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