Individual
JOSHUA STEPHEN HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2179
Mailing address
13 OAKLEY ST, PORTLAND, ME 04103-5017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
093275-23
NH
363LC0200X
Critical Care Medicine Nurse Practitioner
RN67983
ME
Other
Enumeration date
04/02/2020
Last updated
04/22/2024
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