Individual
MICHELLE TRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
25 LONG CREEK DR, SOUTH PORTLAND, ME 04106-2440
(207) 879-0094
(207) 879-0095
Mailing address
25 LONG CREEK DR, SOUTH PORTLAND, ME 04106-2440
(207) 879-0094
(207) 879-0095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R026872
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269910099
—
ME
01
—
DC0798
RAILROAD MEDICARE
ME
Enumeration date
01/28/2006
Last updated
05/07/2008
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