Individual
RICHARD LIBERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNPBC
Contact information
Practice address
807 CUSHING RD, C/O MEDICAL DEPT., WARREN, ME 04864-4603
(207) 273-5485
(207) 273-5465
Mailing address
807 CUSHING RD, C/O MEDICAL DEPT., WARREN, ME 04864-4603
(207) 273-5485
(207) 273-5465
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP141106
ME
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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