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Individual

ELISE M HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
117 AUBURN ST, PORTLAND, ME 04103-6003
(207) 797-4791
(207) 317-5390
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP201268
ME

Other

Enumeration date
10/06/2020
Last updated
09/28/2021
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