University Of Southern Maine

NPI 1518201250 - Nurse Practitioner - 363LP2300X

NPI Details
NPI 1518201250
Enumeration Date 11/19/2012
Last Updated 11/19/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LISA GARNER LISA
Position DIRECTOR, HEALTH SERVICES
Phone (207) 780-5411
Fax (207) 780-4911
Practice Location
37 COLLEGE AVE
125 UPTON HALL
GORHAM ME, 04038-1032, US
Phone (207) 780-5411
Fax (207) 780-4911
Business Location
37 COLLEGE AVE
125 UPTON HALL
GORHAM ME, 04038-1032, US
Phone (207) 780-5411
Fax (207) 780-4911
Toxanomy
Taxonomy Code 363LP2300X
License State Maine
License Number 21136
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According to our database, University Of Southern Maine NPI is 1518201250, taxonomy code is 363LP2300X and license number is 21136, license state is located at Maine. University Of Southern Maine physically located at 37 College Ave, Gorham ME, 04038-1032. NPI Number 1033115704 has the healthcare provider type.

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1518201250 NPI number is provided on an as is basis without warranty of any kind. 1518201250 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Southern Maine are for informational purposes only.