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Individual

CAROL MCCREADY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
970 FOREST AVE, PORTLAND, ME 04103-3331
(207) 797-8881
Mailing address
81 RIVERMEADOW DR, STEEP FALLS, ME 04085-6842

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
023218
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P69992
UPIN
ME
Enumeration date
05/23/2006
Last updated
07/08/2007
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