Individual
MARIANNE M WYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 LANCASTER ST, PORTLAND, ME 04101-2418
(207) 772-2133
Mailing address
626 CAPE RD, LIMINGTON, ME 04049-3923
(207) 793-8663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R031996
ME
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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