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Individual

ELSA MARIE HEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
330 SABATTUS STREET, LEWISTON, ME 04240
(207) 777-4300
(207) 755-3021
Mailing address
PO BOX 1638, ALBANY, NY 12201-1638
(207) 777-4111
(207) 783-6660

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
CNM82030
ME
367A00000X
Advanced Practice Midwife
Primary
CNM82030
ME

Other

Enumeration date
08/31/2006
Last updated
07/03/2014
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