Individual
ANNE M POLIQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 862-5300
Mailing address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 862-5300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R020227
ME
363L00000X
Nurse Practitioner
Primary
RN133426
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040923
ANTHEM
ME
05
—
271980099
—
ME
01
—
MN3614
HPHC
ME
Enumeration date
11/22/2006
Last updated
05/05/2014
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