Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CR1987 | ME |
NPI | 1164723029 |
---|---|
Provider Name | Dr. Elizabeth Maeve Mcnally |
First Address | Brunswick, ME 04011-3359 |
Second Address | Brunswick, ME 04011-3359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2010 |
Last Update Date | 17/10/2020 |