Organization
JULIE RACINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RACINE PMHNP-BC (PMHNP-BC)
(207) 447-1396
Entity
Organization
Contact information
Practice address
226 MAIN ST, SHERMAN, ME 04776-3064
(207) 365-9932
(207) 433-1131
Mailing address
PO BOX 158, SHERMAN, ME 04776-0158
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598964405
NPI
—
Enumeration date
04/04/2018
Last updated
02/27/2020
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