Individual
ABBY B HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
818 CONGRESS ST, PORTLAND, ME 04102
(207) 773-8161
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN74316
ME
363LA2100X
Acute Care Nurse Practitioner
00000000000000000000
CO
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP181001
ME
Other
Enumeration date
08/04/2016
Last updated
09/24/2024
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