Individual
JANET MORDARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
389 CONGRESS ST, ROOM 307, PORTLAND, ME 04101-3509
(207) 874-8784
Mailing address
20 PORTLAND ST, PORTLAND, ME 04101-2912
(207) 874-8445
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R053092
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432540499
—
ME
Enumeration date
05/07/2007
Last updated
11/09/2011
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