Individual
TONI M EIMICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
887 CONGRESS ST, SUITE 100, PORTLAND, ME 04102
(207) 662-5522
(207) 662-5527
Mailing address
301 US ROUTE 1, SUITE C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP091045
ME
363LP0200X
Pediatric Nurse Practitioner
F381826
NY
363LP0200X
Pediatric Nurse Practitioner
RN1011978
DC
Other
Enumeration date
11/09/2006
Last updated
12/27/2010
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