Individual
LORETTA A HOTHERSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
71 US ROUTE 1 STE J, SCARBOROUGH, ME 04074-7168
(207) 396-6433
(207) 396-6436
Mailing address
71 US ROUTE 1 STE J, SCARBOROUGH, ME 04074-7168
(207) 396-6433
(207) 396-6436
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R033570
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293030099
—
ME
Enumeration date
08/31/2006
Last updated
01/22/2014
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