Individual
MAUREEN E MCMACKIN DAVIAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
93 CAMPUS AVE, LEWISTON, ME 04240
(077) 778-4422
(207) 777-8425
Mailing address
PO BOX 95000 LBX 7650, PHILADELPHIA, PA 19195-0001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA83464
ME
Other
Enumeration date
03/13/2009
Last updated
11/08/2022
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