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MS. SUZANNE WENTWORTH MEUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
29 BOWDOIN ST, MANCHESTER, ME 04351-3554
(207) 622-4500
(207) 622-5452
Mailing address
1 BEAR RUN RD, BIDDEFORD, ME 04005-8528
(603) 343-0615

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0448002303
NH
363L00000X
Nurse Practitioner
1010023871
VT
363LF0000X
Family Nurse Practitioner
Primary
101007
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0448002303
ARNP
NH
01
1010023971
APRN
VT
05
1011641
VT
05
30343645
NH
Enumeration date
07/10/2006
Last updated
04/19/2013
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