Individual
MARY ELLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 HIGH ST, STE 400, LEWISTON, ME 04240-7634
(207) 795-5700
(207) 795-5727
Mailing address
12 HIGH ST, STE 400, LEWISTON, ME 04240-7634
(207) 795-5700
(207) 795-5727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R026808
ME
Other
Enumeration date
01/19/2006
Last updated
09/20/2010
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