NPI | 1942661558 |
---|---|
Former Name | DEBORAH S PAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP161099) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: ME CNP161099) |
163W00000X Registered Nurse (Licence: ME 043501) | |
363LF0000X Nurse Practitioner, Family (Licence: NH 078104-23) | |
Enumeration Date | 2016-03-09 |
Last Update Date | 2024-05-29 |