Individual
ROSEMARY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
96 FALMOUTH ST, PORTLAND, ME 04103-4864
(207) 780-4168
(207) 780-4997
Mailing address
28 THOMPSON ST, SOUTH PORTLAND, ME 04106-3021
(207) 780-4168
(207) 780-4997
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R031175
ME
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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