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Individual

MRS. LEEANNE S MATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
161 MARGINAL WAY, PORTLAND, ME 04101-2438
(207) 773-7964
Mailing address
161 MARGINAL WAY, PORTLAND, ME 04101-2438
(207) 773-7964

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
064302-23
NH
363LF0000X
Family Nurse Practitioner
Primary
CNP251652
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3078641
NH
Enumeration date
09/13/2012
Last updated
12/30/2025
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