Organization
MAINELY DIABETES AND ENDOCRINE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE UVA FNP-C (NURSE PRACTITIONER)
(207) 405-7500
Entity
Organization
Contact information
Practice address
76 MAPLE ST, MONMOUTH, ME 04259-7007
(207) 405-7500
(207) 405-7500
Mailing address
76 MAPLE ST, MONMOUTH, ME 04259-7007
(207) 405-7500
(207) 405-7500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316351133
NPI
—
Enumeration date
03/17/2025
Last updated
08/20/2025
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