Individual
MALLORY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16 HOSPITAL DR, YORK, ME 03909-1011
(207) 351-3715
(207) 351-3716
Mailing address
15 HOSPITAL DR, YORK, ME 03909-1099
(207) 363-4321
(207) 363-0120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
PENDING
ME
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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