Individual
MARY LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 PARK RD, WESTBROOK, ME 04092-3188
(207) 857-8410
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R035022
ME
Other
Enumeration date
06/16/2006
Last updated
01/23/2013
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