| NPI | 1790982809 |
|---|---|
| Doing Business As | EVERGREEN FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | BARBARA A CROWLEY President 207-626-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2008-10-20 |