SARAH CHISHOLM SOUTHARD

PORTLAND, ME
NPI1497078299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: ME  CNP181213)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MA  RN264145)
Enumeration Date2010-03-08
Last Update Date2019-07-17
Business Address
SARAH CHISHOLM SOUTHARD A.N.P.
22 BRAMHALL ST
PORTLAND, ME 04102-3175
Phone number: 207-662-0111
Mailing Address
SARAH CHISHOLM SOUTHARD A.N.P.
22 BRAMHALL ST
PORTLAND, ME 04102-3175
Phone number: 207-662-0111