Individual
GAIL M BOAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
193 MAIN ST, SUITE 9, NORWAY, ME 04268
(207) 743-8766
(207) 743-1579
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP081039
ME
363LP0200X
Pediatric Nurse Practitioner
AP30006925
WA
Other
Enumeration date
11/01/2006
Last updated
08/18/2016
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