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Individual

BROOKE AMELIA SMITH STOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
141 N MAIN ST, #205, BREWER, ME 04412-2011
(207) 992-4032
(207) 992-4132
Mailing address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-4519

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R049759
ME
163W00000X
Registered Nurse
R97153
SC
163W00000X
Registered Nurse
RN196287
GA
367500000X
Certified Registered Nurse Anesthetist
AA093048
ME

Other

Enumeration date
10/02/2009
Last updated
05/21/2010
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