| NPI | 1194225292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ANNE EASTMAN Owner 207-944-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP101030) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |