University Of Southern Maine
Nurse Practitioner, Primary Care in Gorham, ME. Organization (NPI-2).
NPI number1518201250
StatusActive
Last updated in NPPESNov 19, 2012
Details
- NPI
- 1518201250
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of Southern Maine
- Organization subpart
- Yes
- Enumeration date
- Nov 19, 2012
- Last updated
- Nov 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 21136 | ME | Yes |
Other names
- Health & Counseling Services (Doing Business As)
Practice location
37 College Ave125 Upton Hall
Gorham, ME 04038-1032
Phone 207-780-5411 · Fax 207-780-4911
Mailing address
37 College Ave125 Upton Hall
Gorham, ME 04038-1032
Phone 207-780-5411 · Fax 207-780-4911
Authorized official
Lisa Garner Belanger
Director, Health Services
2077805160
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