Individual
DANA MARILYN TWOMBLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
96 CAMPUS DR, SCARBOROUGH, ME 04074-7163
(207) 885-9905
Mailing address
16 GRAY RD, GORHAM, ME 04038-1109
(603) 770-9105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP221577
ME
363LF0000X
Family Nurse Practitioner
RN68411
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP221577
LICENSE
ME
Enumeration date
02/27/2023
Last updated
06/05/2023
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