Individual
MARY P DELOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN,F.N.P.-C
Contact information
Practice address
260 WESTERN AVE, SOUTH PORTLAND, ME 04106-2432
(207) 761-4700
(207) 761-4744
Mailing address
125 BANCROFT ST, PORTLAND, ME 04102-2028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R023829
ME
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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