Individual
MISS IDEH ROHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
111 AUBURN ST, PORTLAND, ME 04103-2103
(207) 797-3393
Mailing address
111 AUBURN ST, PORTLAND, ME 04103-2103
(207) 797-3393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP161217
ME
363LW0102X
Women's Health Nurse Practitioner
N360592731
WA
Other
Enumeration date
08/17/2015
Last updated
07/21/2022
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