Individual
SALLY S STOTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81238
ME
363LF0000X
Family Nurse Practitioner
R024050
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040915
ANTHEM
ME
05
—
284350099
—
ME
01
—
AA21889
HARVARD PILGRIM HEALTHCA
ME
01
—
P00066199
RAILROAD MEDICARE
ME
Enumeration date
09/29/2005
Last updated
05/23/2016
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