Individual
OLIVIA A O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1945 CONGRESS ST STE 201, PORTLAND, ME 04102-1967
(207) 761-0177
Mailing address
122 DAY RD, GORHAM, ME 04038-1846
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP221542
ME
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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