| NPI | 1972093011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURIE ANN SWIMM Owner/Operator 207-937-8254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP101027) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2022-08-09 |