Individual
DANA MERRILL LAW-HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
180 KENNEDY MEMORIAL DR STE 304, WATERVILLE, ME 04901-4548
(207) 873-1036
(207) 873-1039
Mailing address
174 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-5134
(207) 861-3002
(207) 861-3281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP081269
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432864599
—
ME
Enumeration date
12/27/2007
Last updated
12/31/2009
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