Individual
MICHELLE ATIENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 WASHINGTON AVE, PORTLAND, ME 04103-3636
(207) 553-0825
Mailing address
1321 WASHINGTON AVE, PORTLAND, ME 04103-3636
(207) 553-0825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20681242
ME
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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