Individual
ANNETTE O'GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, APRN
Contact information
Practice address
409 ROOSEVELT TRL, WINDHAM, ME 04062-4821
(207) 400-8600
Mailing address
409 ROOSEVELT TRAIL, MERCY WALK-IN CLINIC, WINDHAM, ME 04062
(207) 400-8600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81383
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102380100
—
ME
05
—
154420000
—
ME
05
—
434093299
—
ME
01
—
NP439101
MED B - PERS FOR 200051
ME
Enumeration date
03/17/2006
Last updated
03/31/2025
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