Individual
JUDITH A METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
655 MAIN ST, SACO, ME 04072-1543
(207) 602-3571
(207) 602-3573
Mailing address
PO BOX 284, BRATTLEBORO, VT 05302-0284
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP81095
ME
363LA2200X
Adult Health Nurse Practitioner
R030254
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278920099
—
ME
05
—
30344301
—
ME
05
—
30344301
—
NH
Enumeration date
12/20/2005
Last updated
02/05/2013
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