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Individual

CARLENE MORAN STILLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
9 LEWIS RD, KITTERY, ME 03904-5410
(781) 480-7017
(978) 494-8006
Mailing address
67 ALEXANDER DR, GORHAM, ME 04038-2161
(207) 310-8920

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP221643
ME

Other

Enumeration date
01/24/2024
Last updated
02/04/2024
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