Individual
JEREMY JOSEPH MONIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
(207) 662-6236
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
(207) 662-6236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200866
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA263025
ME
Other
Enumeration date
12/10/2024
Last updated
06/08/2026
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