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Individual

MRS. MARY C. SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C, BC-ADM, CDCES

Contact information

Practice address
144 STATE ST FL 4, PORTLAND, ME 04101-3776
(207) 400-8500
(207) 400-8508
Mailing address
144 STATE ST FL 4, PORTLAND, ME 04101-3776
(207) 400-8500
(207) 400-8508

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP191272
ME
363LF0000X
Family Nurse Practitioner
APN.0991682-NP
CO

Other

Enumeration date
03/17/2015
Last updated
01/20/2021
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