Organization
MAINE CDC PUBLIC HEALTH NURSING
Active
Parent organization
STATE OF MAINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MAINE
Authorized official
DWIGHT R LITTLEFIELD RN, MBA (PUBLIC HEALTH NURSING CONSULTANT)
(207) 287-9025
Entity
Organization
Contact information
Practice address
286 WATER ST KEY PLZ FL 7, STATE HOUSE STATION # 11, AUGUSTA, ME 04333-0011
(207) 287-9025
(207) 287-5355
Mailing address
286 WATER ST KEY PLZ FL 7, STATE HOUSE STATION # 11, AUGUSTA, ME 04333-0011
(207) 287-9025
(207) 287-5355
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135910300
BILLING PROVIDER NUMBER
ME
Enumeration date
05/07/2009
Last updated
07/13/2012
Update your record
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