Organization
ROYAL RIVER FAMILY CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JEAN BREWSTER FNP (PRESIDENT)
(207) 846-0716
Entity
Organization
Contact information
Practice address
60 FOREST FALLS DR, SUITE #1, YARMOUTH, ME 04096-6971
(207) 846-0716
(207) 846-0718
Mailing address
60 FOREST FALLS DR, SUITE #1, YARMOUTH, ME 04096-6971
(207) 846-0716
(207) 846-0718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
030692
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163380000
—
ME
01
—
DA2970
RAILROAD MEDICARE
ME
Enumeration date
03/25/2008
Last updated
05/08/2008
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