Individual
MELODY JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
127 WATSON MILL RD, SACO, ME 04072-9372
(603) 531-7211
Mailing address
127 WATSON MILL RD, SACO, ME 04072-9372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN75654
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN75654
MAINE STATE BOARD OF NURSING
ME
Enumeration date
01/21/2021
Last updated
01/21/2021
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