Individual
NICOLE RENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 BRAMHALL ST STE G1, PORTLAND, ME 04102-3344
(207) 662-3157
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP221344
ME
Other
Enumeration date
07/20/2022
Last updated
01/03/2023
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