Individual
CARA LAVERTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25A JUNE ST STE 111, SANFORD, ME 04073
(207) 490-7998
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 490-7998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP151159
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP151159
ME
Other
Enumeration date
10/28/2015
Last updated
03/11/2019
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