Individual
BEVIN L MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 LISBON ST, LEWISTON, ME 04241-2008
(207) 783-9141
Mailing address
1155 LISBON ST, LEWISTON, ME 04241-2008
(207) 783-9141
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP101002
ME
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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