Individual
DIANA T PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
49 SPRING ST, 2ND FLOOR, SCARBOROUGH, ME 04074-8926
(207) 883-1414
(207) 883-1010
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN280793
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP131081
ME
Other
Enumeration date
02/11/2010
Last updated
10/30/2013
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