Individual
MS. DEMETRA KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 ARSENAL ST, AUGUSTA, ME 04330-5742
(207) 624-4600
Mailing address
6 NEWPORT CT, YARMOUTH, ME 04096-1549
(281) 844-2593
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP191199
ME
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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