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Individual

ROSEMARY L PRENTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
191 MARGINAL WAY, PORTLAND, ME 04101-3387
(207) 517-3838
(207) 517-3820
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP081225
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30346873
NH
05
335300099
ME
Enumeration date
07/12/2006
Last updated
12/12/2024
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