Individual
CARRIE JOY CRECELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 FODEN RD STE 303, SOUTH PORTLAND, ME 04106-2327
(207) 523-3767
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN64184
ME
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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