Individual
NATHANIEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
266 E ELM ST, YARMOUTH, ME 04096-7116
(207) 232-9105
Mailing address
266 E ELM ST, YARMOUTH, ME 04096-7116
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP161101
ME
Other
Enumeration date
09/06/2016
Last updated
09/11/2020
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