Individual
NICOLETTE CURRAN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 MAIN ST, SKOWHEGAN, ME 04976-1198
(207) 858-4844
Mailing address
35 OLDE SCHOOL LN UNIT 104, SKOWHEGAN, ME 04976-1263
(207) 612-6684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP241412
ME
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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