Individual
JANICE M STILKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
887 CONGRESS ST, SUITE 320, PORTLAND, ME 04102-3103
(207) 662-5522
(207) 662-5527
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R015503
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30343225
—
NH
05
—
421210099
—
ME
Enumeration date
01/10/2007
Last updated
12/01/2014
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