Individual
VERA J KOMISARJEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP101040
ME
Other
Enumeration date
10/18/2005
Last updated
08/01/2024
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