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Individual

MARY COLLARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-5400
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-5400

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
210977
MA
367A00000X
Advanced Practice Midwife
Primary
CNM212002
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0344630
MA
Enumeration date
05/03/2006
Last updated
05/23/2022
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