Individual
RANOVY OCCELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 490-7000
(207) 490-7002
Mailing address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 490-7000
(207) 490-7002
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11029911
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP251166
ME
Other
Enumeration date
11/30/2023
Last updated
04/29/2025
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