| NPI | 1740612373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE R PRINTY CFO 207-563-4476 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP131061) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2018-04-27 |