Individual
GRACE APPLEGATE HYNDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 FODEN RD STE 303, SOUTH PORTLAND, ME 04106-2327
(207) 523-3767
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5015430
NC
363LP0200X
Pediatric Nurse Practitioner
5015430
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP231497
ME
Other
Enumeration date
09/21/2017
Last updated
03/04/2026
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