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Individual

MIKEE SPAULDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
329 MAINE ST, SUITE A, BRUNSWICK, ME 04011-3310
(207) 319-1847
(207) 319-1897
Mailing address
329 MAINE ST, SUITE A, BRUNSWICK, ME 04011-3310
(207) 319-1847
(207) 319-1897

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP151112
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AA453328
HARVARD PILGRIM ID
01
CNP151112
STATE LICENSE NUMBER
ME
Enumeration date
09/18/2015
Last updated
12/09/2015
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