Individual
MEGAN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20 PORTLAND ST, PORTLAND, ME 04101-2912
(207) 874-8445
Mailing address
41 MONTREAL ST, PORTLAND, ME 04101-2706
(207) 780-1004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R041194
ME
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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