FREDERICK DONALD WATTERS

PORTLAND, ME
NPI1053753921
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ME  CNP131037)
Enumeration Date2013-07-22
Last Update Date2018-07-13
Business Address
Mr. FREDERICK DONALD WATTERS APRN-CNP
66 SHERMAN ST APT 3
PORTLAND, ME 04101
Phone number: 207-669-5910
Mailing Address
Mr. FREDERICK DONALD WATTERS APRN-CNP
66 SHERMAN ST APT 3
PORTLAND, ME 04101-2206
Phone number: 207-669-5910