Individual
CAROLYN VIRGINIA RANTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(360) 630-1354
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(360) 630-1354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO3114
ME
208M00000X
Hospitalist Physician
DO3110
ME
208M00000X
Hospitalist Physician
DO3114
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
03/28/2017
Last updated
03/03/2023
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