Individual
SCOTT J WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
216 VAUGHAN ST., MCGEACHY HALL, PORTLAND, ME 04101
(207) 662-2221
Mailing address
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103-2842
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP181201
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN68863
ME
Other
Enumeration date
08/08/2018
Last updated
03/03/2020
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