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Individual

MR. SAMUEL FRANCIS BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-BC, ACNPC-AG

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
3 CRESCENT ST, APARTMENT #2, PORTLAND, ME 04102-3114
(402) 203-1546

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP171024
ME

Other

Enumeration date
04/05/2017
Last updated
04/05/2017
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