Individual
BONNIE L. RADEMACHER-FLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6 ST. ANDREWS LANE, BOOTHBAY HARBOR, ME 04538-1847
(207) 633-1600
(207) 633-1615
Mailing address
6 ST. ANDREWS LANE, LINCOLN HEALTH WOUND CARE CENTER, BOOTHBAY HARBOR, ME 04578-1847
(207) 633-1600
(207) 633-1615
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP121078
ME
364S00000X
Clinical Nurse Specialist
001556
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004246907
—
CT
05
—
1619953312
—
ME
Enumeration date
12/15/2005
Last updated
10/23/2014
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