Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | AP081813 | ME |
NPI | 1003015025 |
---|---|
Provider Name | Mrs. Jennifer Anne Dreher |
First Address | Rockport, ME 04856-4235 |
Second Address | Rockport, ME 04856-4235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 29/12/2011 |