Individual
REBECCA E SKOLNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 874-1030
Mailing address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 874-1030
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP101018
ME
Other
Enumeration date
04/14/2010
Last updated
12/31/2012
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