Individual
MR. STEPHEN H NIGHTINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 SEAVEYS WAY, # 2, ELLSWORTH, ME 04605-3868
(207) 667-2422
(207) 667-0135
Mailing address
37 COMMERCE PARK, ELLSWORTH, ME 04605-3383
(207) 667-2422
(207) 667-0135
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
013394
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124610100
—
ME
Enumeration date
11/08/2005
Last updated
01/15/2020
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