Individual
MS. JOAN PENDEXTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1685 CONGRESS STREET, STROUDWATER PEDIATRICS, PORTLAND, ME 04102
(207) 774-4092
(207) 774-6024
Mailing address
100 FODEN ROAD EAST, SUITE 201, SOUTH PORTLAND, ME 04106
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
014595
ME
Other
Enumeration date
03/18/2006
Last updated
07/08/2007
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