Individual
ALEXANDER THEODORE SIPILIEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
265 WESTERN AVE STE 2, SOUTH PORTLAND, ME 04106-2458
(207) 661-0200
Mailing address
265 WESTERN AVE, SOUTH PORTLAND, ME 04106-2458
(207) 661-0200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP231048
ME
Other
Enumeration date
04/03/2023
Last updated
04/17/2023
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