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Individual

MS. ANNE W HERRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
49 SPRING STREET, SCARBOROUGH, ME 04074
(207) 883-1414
(207) 883-1518
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R056938
ME
363L00000X
Nurse Practitioner
AP111090
ME
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP111090
ME

Other

Enumeration date
09/24/2011
Last updated
10/31/2014
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