Individual
BONNEY STARBIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
12 HIGH ST, LEWISTON, ME 04240-7634
(207) 795-5700
Mailing address
18 COOLIDGE ST, AUBURN, ME 04210-6220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R024047
ME
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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