| NPI | 1578892147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA TREMAINE BRIDGMAN Family Nurse Practitioner 207-512-0584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 175F00000X Naturopath |
| 261QP2300X Clinic/Center, Primary Care (Licence: ME AP081246) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2020-10-26 |