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Individual

CHRISTINA JG NETTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
211 MAIN ST, WATERVILLE, ME 04901-6117
(207) 877-3460
(207) 877-3459
Mailing address
211 MAIN ST, WATERVILLE, ME 04901-6117
(207) 877-3460
(207) 877-3459

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2265442
MA
363L00000X
Nurse Practitioner
Primary
AP111046
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110086710A
MA
Enumeration date
06/04/2007
Last updated
10/16/2012
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