Nicholas D Pennell FNP

NPI 1053368993 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1053368993
Gender Male
Enumeration Date 05/27/2006
Last Updated 07/25/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1321 WASHINGTON AVE
301
PORTLAND ME, 04103-3636, US
Phone (207) 780-6565
Fax (207) 878-6565
Business Location
1321 WASHINGTON AVE
301
PORTLAND ME, 04103-3636, US
Phone (207) 780-6565
Fax (207) 878-6565
Toxanomy
Taxonomy Code 363LF0000X
License State Maine
License Number R049269
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According to our database, Nicholas D Pennell FNP NPI is 1053368993, taxonomy code is 363LF0000X and license number is R049269, license state is located at Maine. Nicholas D Pennell FNP physically located at 1321 Washington Ave, Portland ME, 04103-3636. NPI Number Nicholas D Pennell FNP has the Individual type.

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1053368993 NPI number is provided on an as is basis without warranty of any kind. 1053368993 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas D Pennell FNP are for informational purposes only.