Individual
CAROL BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
200 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4526
(207) 861-3200
(207) 861-3210
Mailing address
200 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4526
(207) 861-3200
(207) 861-3210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP171125
ME
363LF0000X
Family Nurse Practitioner
R087379
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216302100
—
MD
Enumeration date
07/07/2006
Last updated
05/01/2018
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