Individual
DR. CLARISSA MICHALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-AG
Contact information
Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7000
Mailing address
31 SHADY RUN LN, CUMBERLAND, ME 04021-3818
(207) 409-3623
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430958
NY
363LG0600X
Gerontology Nurse Practitioner
CNP201245
ME
Other
Enumeration date
09/08/2015
Last updated
03/29/2024
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