Individual
WILLIAM ALFRED LEGERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP, PMHNP
Contact information
Practice address
21 MILLETT DR, AUBURN, ME 04210-4055
(207) 783-0018
(207) 783-0019
Mailing address
PO BOX 1638, ALBANY, NY 12201-1638
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
038298
ME
363LA2100X
Acute Care Nurse Practitioner
CNP81487
ME
363LF0000X
Family Nurse Practitioner
CNP81487
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP081487
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194797159
—
ME
Enumeration date
02/03/2006
Last updated
12/28/2021
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