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1063019636
ELISE M HARVEY
PORTLAND, ME
NPI
1063019636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ME CNP201268)
Enumeration Date
2020-10-06
Last Update Date
2021-09-28
Business Address
ELISE M HARVEY FNP
117 AUBURN ST
PORTLAND, ME 04103-6003
Phone number: 207-797-4791
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Mailing Address
ELISE M HARVEY FNP
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8950
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