Individual
CARLY OLIVIA WIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 WOODS RD, BELFAST, ME 04915-7428
(207) 323-4716
Mailing address
112 WOODS RD, BELFAST, ME 04915-7428
(207) 323-4716
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN62873
ME
163WH1000X
Hospice Registered Nurse
RN62873
ME
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN62873
ME
163WS0200X
School Registered Nurse
RN62873
ME
Other
Enumeration date
09/28/2017
Last updated
07/21/2022
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