Individual
TERESA C TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6 FARLEY RD, BRUNSWICK, ME 04011-2642
(207) 725-8079
(207) 798-4455
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 791-3888
(207) 828-7850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81437
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329080099
—
ME
Enumeration date
06/29/2006
Last updated
09/02/2014
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