Individual
MS. JOAN L STULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
100 FODEN RD, WEST, SUITE 100, SOUTH PORTLAND, ME 04106-2327
(207) 523-3900
(207) 523-8593
Mailing address
100 FODEN RD, WEST, SUITE 203, SOUTH PORTLAND, ME 04106-2327
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
023596
ME
Other
Enumeration date
03/28/2006
Last updated
11/23/2010
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