Individual
SALLY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
30 WEST COLE ROAD, BIDDEFORD, ME 04005
(207) 282-3349
(207) 282-6099
Mailing address
ONE MEDICAL CENTER DRIVE, BIDDEFORD, ME 04005
(207) 282-9080
(207) 282-6099
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209.008703
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP121104
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245500420
—
ME
Enumeration date
01/05/2012
Last updated
01/30/2013
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