Individual
EMILY G. TILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
60 HIGH ST, LEWISTON, ME 04240-7616
(207) 753-3900
Mailing address
60 HIGH ST, LEWISTON, ME 04240-7616
(207) 753-3900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP211056
ME
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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