Individual
ANITA CHADBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
167 DYKE MOUNTAIN RD, SEBAGO, ME 04029-3116
(207) 650-9673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP171073
ME
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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