Individual
TERRI A ARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
261 MAIN ST, YARMOUTH, ME 04096-6755
(207) 749-8466
Mailing address
261 MAIN ST, YARMOUTH, ME 04096-6755
(207) 749-8466
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT2689
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099026
ANTHEM
ME
Enumeration date
04/02/2007
Last updated
07/08/2007
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