Individual
MS. DENYSE M. PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12 HIGH ST, STE 400, LEWISTON, ME 04240-7676
(207) 795-5700
(207) 795-5727
Mailing address
12 HIGH ST, STE 400, LEWISTON, ME 04240-7676
(207) 795-5700
(207) 795-5727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP081787
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R026816
MAINE LICENSE
ME
Enumeration date
06/30/2006
Last updated
09/06/2011
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