Individual
MARYALICE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
735 WILSON ST, BREWER MEDICAL CENTER, BREWER, ME 04412-1000
(207) 989-1567
Mailing address
PO BOX 1599, PENOBSCOT COMMUNITY HEALTH CENTER, BANGOR, ME 04402-1599
(207) 992-9200
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
AP60588602
WA
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP161198
ME
Other
Enumeration date
08/13/2015
Last updated
11/30/2016
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