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Individual

NICOLE CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
111 OSSIPEE TRL E, SUITE 1142, STANDISH, ME 04084-6464
(207) 642-4434
(207) 642-4439
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3470
(207) 879-3153

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP081789
ME

Other

Enumeration date
08/28/2006
Last updated
04/04/2011
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