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Individual

STEVEN PETRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 490-7860
(207) 604-7409
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7000
(207) 282-9128

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP81444
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
431954499
ME
Enumeration date
12/19/2005
Last updated
04/08/2014
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