Individual
NATALIIA IANTSEVYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
92 CAMPUS DR STE C, SCARBOROUGH, ME 04074-7229
(207) 797-5753
(207) 797-9571
Mailing address
92 CAMPUS DR STE C, SCARBOROUGH, ME 04074-7229
(207) 797-5753
(207) 797-9571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP211076
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211076
LICENSE
ME
05
—
363LF0000X
—
ME
Enumeration date
03/09/2021
Last updated
03/27/2025
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