Individual
BETH DUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 874-1030
(207) 874-1044
Mailing address
190 RIVERSIDE ST, UNIT 6B, PORTLAND, ME 04103-1073
(207) 661-2018
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN52218
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP81865
ME
Other
Enumeration date
11/26/2007
Last updated
01/18/2019
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