Individual
SAMANTHA NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
934 CONGRESS ST, PORTLAND, ME 04102-3032
(207) 874-2141
Mailing address
15 COLONIAL RD, PORTLAND, ME 04102-2009
(207) 899-5054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN68469
ME
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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