Marathon Health LLC
Nurse Practitioner in Norridgewock, ME. Organization (NPI-2).
NPI number1194358168
StatusActive
Last updated in NPPESJan 6, 2021
Details
- NPI
- 1194358168
- Entity type
- Organization (NPI-2)
- Legal business name
- Marathon Health LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 19, 2020
- Certification date
- Jan 6, 2021
- Last updated
- Jan 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Other names
- New Balance Norridgewock (Other Name)
Practice location
20 Depot StNorridgewock, ME 04957-3952
Phone 207-634-1250
Mailing address
Po Box 5Winooski, VT 05404-0005
Other practice locations
17 Walnut St
Skowhegan, ME 04976-1514
Skowhegan, ME 04976-1514
Phone 207-858-6540
72 Cottage St
Norway, ME 04268-6012
Norway, ME 04268-6012
Phone 207-744-4240
Authorized official
Jerry Ford
Ceo
8028570400
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