Individual
LIEN WOODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103
(207) 221-4516
Mailing address
29 JACKSON ST, PORTLAND, ME 04103-2205
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA213064
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2019
Last updated
09/17/2021
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