Individual
LARRY CLIFFORD SEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
841 RIVERSIDE DR., AUGUSTA, ME 04330
(207) 213-4616
(207) 213-4727
Mailing address
PO BOX 157, NOBLEBORO, ME 04555
(207) 453-4708
(207) 453-6250
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP101014
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R049009
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432079799
—
ME
Enumeration date
09/12/2006
Last updated
12/04/2012
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