| NPI | 1598428476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA HUTCHINSON Owner 207-491-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |