Individual
RENEE S FAGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12 HIGH ST, SUITE 400, LEWISTON, ME 04240-7676
(207) 795-5700
(207) 795-5727
Mailing address
12 HIGH ST, SUITE 400, LEWISTON, ME 04240-7676
(207) 795-5700
(207) 795-5727
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP91032
ME
Other
Enumeration date
07/29/2009
Last updated
05/02/2017
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