Individual
THOMAS VATISTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 626-1000
Mailing address
400 PLAINS RD, READFIELD, ME 04355-3114
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP221537
ME
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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