Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 307488 | NY |
N | 363LA2200X | Nurse Practitioner - Adult Health | RN2291614 | MA |
NPI | 1013384858 |
---|---|
Provider Name | Meredith L Curtis |
First Address | South Portland, ME 04106-2415 |
Second Address | South Portland, ME 04106-2415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2015 |
Last Update Date | 01/07/2019 |