| NPI | 1346104593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MCCONNELL Executive Director 207-319-8079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2025-12-11 |