Individual
NICOLE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 CUMBERLAND ST STE 5, BRUNSWICK, ME 04011-1829
(207) 542-0332
Mailing address
49 ARDSLEY AVE, SOUTH PORTLAND, ME 04106-5325
(207) 542-0332
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-317162
ME
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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