Individual
ERIN MORNEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 JOHN ROBERTS RD BLDG B, SOUTH PORTLAND, ME 04106-6964
(207) 775-4151
(207) 775-6950
Mailing address
301 US ROUTE 1, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2040
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432879699
—
ME
Enumeration date
05/08/2007
Last updated
01/06/2011
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