Organization
PSYCHNP, P-LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSA JUAREZ NP (OWNER)
(207) 756-3073
Entity
Organization
Contact information
Practice address
445 PORTLAND RD, BUXTON, ME 04093-6559
(207) 756-3073
Mailing address
445 PORTLAND RD, BUXTON, ME 04093-6559
(207) 756-3073
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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