Individual
GINA NICOLE DASILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 COUNTY WAY, PORTLAND, ME 04102-2755
(207) 774-5939
Mailing address
61 STUART ST, PORTLAND, ME 04103-1309
(207) 766-6354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN55472
ME
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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