Individual
STEPHANIE ELENA CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, APRN-CNP
Contact information
Practice address
LIBERTY BAY RECOVERY CENTER, 343 FOREST AVENUE, PORTLAND, ME 04101
(207) 772-9800
(207) 536-1511
Mailing address
31 PUNKIN VALLEY DR, BRIDGTON, ME 04009-3425
(207) 595-8756
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP191234
ME
Other
Enumeration date
01/19/2007
Last updated
02/27/2020
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