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Individual

BETHANY MARIE TYBURSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
93 CAMPUS AVE, LEWISTON, ME 04240-6030
(207) 777-8100
Mailing address
211 ROCHESTER ST, WESTBROOK, ME 04092-4263

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP221646
ME

Other

Enumeration date
12/29/2022
Last updated
12/29/2022
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