Individual
ANNE MERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 337-3257
Mailing address
29 JEFFREY DR, YORK, ME 03909-5154
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
015305
ME
2084P0800X
Psychiatry Physician
76168
MA
2084P0800X
Psychiatry Physician
9569
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201588
BC/BS
ME
05
—
30201612
—
NH
05
—
432962000
—
ME
Enumeration date
06/05/2006
Last updated
09/02/2021
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