Individual
MARY E CORRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
887 CONGRESS ST, SUITE 320, PORTLAND, ME 04102-3100
(207) 662-5522
(207) 662-5527
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R028536
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290110099
—
ME
05
—
30344975
—
NH
Enumeration date
08/31/2006
Last updated
01/04/2011
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