Individual
OWEN VANDERPOOL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
92 CAMPUS DR STE A, SCARBOROUGH, ME 04074-7133
(207) 885-0011
Mailing address
91B BURNELL DR, YARMOUTH, ME 04096-7703
(207) 450-6377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP211303
ME
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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