Individual
STEPHANIE MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 BRICKHILL AVE STE 303, SOUTH PORTLAND, ME 04106-1999
(207) 874-2141
Mailing address
100 BRICKHILL AVE STE 303, SOUTH PORTLAND, ME 04106-1999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN85679
ME
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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