Individual
SAMARA MANGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 US ROUTE 1 STE E, SCARBOROUGH, ME 04074-7168
(207) 773-9931
Mailing address
15 OAK ST, SPRINGVALE, ME 04083-1926
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN80341
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP231413
ME
Other
Enumeration date
10/14/2022
Last updated
09/06/2023
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