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GENEVIEVE R MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
818 CONGRESS ST, PORTLAND, ME 04102-3112
(207) 773-8161
(207) 773-1489
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
CNP111021
ME
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP111021
ME

Other

Enumeration date
01/18/2008
Last updated
10/14/2024
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