Individual
MRS. ELIZABETH MAE INCANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
37 PALMER ST STE 2, CALAIS, ME 04619-1341
(207) 454-9516
Mailing address
37 PALMER ST STE 2, CALAIS, ME 04619-1341
(207) 454-9516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP201145
ME
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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