Individual
MS. SANDRA T PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APMHNP
Contact information
Practice address
48 GILMAN ST, PORTLAND, ME 04102-3004
(207) 662-2295
(207) 662-6116
Mailing address
48 GILMAN ST, PORTLAND, ME 04102-3004
(207) 662-2295
(207) 662-6116
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R025074
ME
Other
Enumeration date
12/04/2006
Last updated
11/26/2014
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