Individual
HEATHER M EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH NP
Contact information
Practice address
131 CHADWICK STREET, PORTLAND, ME 04102
(207) 662-2221
(207) 662-6783
Mailing address
131 CHADWICK STREET, PORTLAND, ME 04102
(207) 662-2221
(207) 662-6783
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP81774
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432002499
—
ME
Enumeration date
10/02/2006
Last updated
01/21/2013
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