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Individual

MS. MAXINE C GUAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PAGPCNP

Contact information

Practice address
49 SPRING STREET, SCARBOROUGH, ME 04074
(207) 683-1414
(207) 883-1518
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
418379
MA
363LA2200X
Adult Health Nurse Practitioner
141079
ME
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP141079
ME

Other

Enumeration date
02/06/2014
Last updated
10/07/2014
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