Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP081640 | ME |
NPI | 1003938259 |
---|---|
Provider Name | Anne Mcmath |
First Address | Scarborough, ME 04074-7609 |
Second Address | Norway, ME 04268-5647 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 26/11/2014 |