| NPI | 1760062293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE J. LETOURNEAU Nurse Practitioner 207-660-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-05-24 |