Organization
LIVE WELL DIRECT PRIMARY CARE AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BICKNELL FNP-C (OWNER)
(207) 939-2376
Entity
Organization
Contact information
Practice address
37 PARK CIR, CAPE ELIZABETH, ME 04107-9682
(207) 939-2376
(866) 709-3494
Mailing address
37 PARK CIR, CAPE ELIZABETH, ME 04107-9682
(207) 939-2376
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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