BETTY BRICKER SMALL

PORTLAND, ME
NPI1164461307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: ME  R035597)
Enumeration Date2006-06-05
Last Update Date2007-07-08
Business Address
-- BETTY BRICKER SMALL ANP
50 SEWALL ST
PORTLAND, ME 04102-2624
Phone number: 207-775-3526
Mailing Address
-- BETTY BRICKER SMALL ANP
50 SEWALL ST
PORTLAND, ME 04102-2624
Phone number: 207-775-3526
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