Individual
MS. FOTINI POLIDORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
689663-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA223079
ME
Other
Enumeration date
07/09/2020
Last updated
10/09/2023
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