Organization
BACK COVE MIDWIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN GRILLO CNM (OWNER)
(207) 871-0666
Entity
Organization
Contact information
Practice address
527 OCEAN AVE, PORTLAND, ME 04103-4972
(207) 871-0666
Mailing address
527 OCEAN AVE, PORTLAND, ME 04103-4972
(207) 871-0666
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
ME
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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