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Individual
MARJORIE MAINE
Active
Individual
MARJORIE MAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP014990
PA
363LP0200X
Pediatric Nurse Practitioner
F380966
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP024964
PA
Other
Enumeration date
10/01/2014
Last updated
11/25/2022
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