Individual
GEORGANN DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
49 SPRING ST, 2ND FLOOR, SCARBOROUGH, ME 04074-8926
(202) 788-3141
(207) 883-1518
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP81080
ME
Other
Enumeration date
07/26/2005
Last updated
10/23/2012
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