Organization
THERAPIA - MARY PENNER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PENNER NP-C (NURSE PRACTITIONER)
(207) 844-2045
Entity
Organization
Contact information
Practice address
12 INDUSTRIAL PKWY, BRUNSWICK, ME 04011-7314
(207) 844-2045
(204) 837-6951
Mailing address
12 INDUSTRIAL PKWY, BRUNSWICK, ME 04011-7314
(207) 844-2045
(204) 837-6951
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
AP091053
ME
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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