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Individual

REBECCA D MORIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP81597
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30346589
NH
Enumeration date
06/11/2007
Last updated
06/11/2012
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