Individual
DIANNE JEAN RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP, DSN
Contact information
Practice address
4 CLEMENT WAY, BELGRADE, ME 04917-4370
(207) 495-3323
(207) 495-3353
Mailing address
PO BOX 569, RANGELEY, ME 04970-0569
(207) 864-2699
(207) 864-2969
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
AP081135
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R025851
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432406999
—
ME
Enumeration date
07/15/2006
Last updated
04/14/2015
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