Individual
GAYLE E MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN ANP
Contact information
Practice address
169 OCEAN ST STE 104, SOUTH PORTLAND, ME 04106-3636
(207) 712-6068
(207) 747-4424
Mailing address
301 US ROUTE 1, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP81087
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30344481
—
ME
05
—
30344481
—
NH
05
—
432313599
—
ME
Enumeration date
01/26/2006
Last updated
01/02/2019
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