Individual
CHRISTINE MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
43 S LUBEC RD, LUBEC, ME 04652-3620
(207) 733-5541
(207) 733-2127
Mailing address
43 S LUBEC RD, LUBEC, ME 04652-3620
(207) 733-5541
(207) 733-2127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
035412
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247370099
—
ME
Enumeration date
01/13/2006
Last updated
06/29/2021
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