Individual
MS. MAXINE C GUAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAGPCNP
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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