Individual
MS. ANNA STASIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
96 CAMPUS DRIVE, SUITE 1, SCARBOROUGH, ME 04074
(207) 885-9905
(207) 396-5600
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP121014
ME
Other
Enumeration date
06/29/2012
Last updated
01/28/2015
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