Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | CNP81392 | ME |
NPI | 1063546521 |
---|---|
Provider Name | Ms. Diane Jean Batley |
First Address | Rockland, ME 04841-2576 |
Second Address | Rockport, ME 04856-4243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 17/06/2013 |