Individual
MRS. AUDRA LYNN DEBETHUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
102 DAWSON ST, SOUTH PORTLAND, ME 04106-3439
(207) 749-4140
Mailing address
102 DAWSON ST, SOUTH PORTLAND, ME 04106-3439
(207) 749-4140
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP251413
ME
Other
Enumeration date
06/24/2024
Last updated
08/20/2025
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