Individual
OLIVIA OPAL FLEETWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 879-3000
Mailing address
94 MELLEN ST STE 1, PORTLAND, ME 04101-2141
(740) 803-0615
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA233010
ME
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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