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Individual

MARILYN P LARUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNPC

Contact information

Practice address
16 FAHY ST STE 201, BELFAST, ME 04915-6029
(207) 505-4491
(207) 505-4496
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8100

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP211176
ME
363LF0000X
Family Nurse Practitioner
APRN.CNP.19207
OH
363LF0000X
Family Nurse Practitioner
APRN81605NP
WV
363LF0000X
Family Nurse Practitioner
Primary
CNP211176
ME
363LF0000X
Family Nurse Practitioner
SP016245
PA

Other

Enumeration date
08/02/2016
Last updated
09/24/2025
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