Individual
DANIELLE SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP191049
ME
363L00000X
Nurse Practitioner
RN53146
ME
Other
Enumeration date
03/14/2019
Last updated
06/19/2019
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