Organization
HEALTHY PATHWAYS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIANNE M. WYER APRN, FNP (FAMILY NURSE PRACTITIONER)
(207) 749-0392
Entity
Organization
Contact information
Practice address
1 NORTHEAST RD, SUITE 7, STANDISH, ME 04084-6422
(207) 749-0392
Mailing address
1 NORTHEAST RD, SUITE 7, STANDISH, ME 04084-6422
(207) 749-0392
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
APRN-CNP81500
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ID122950001
MAINECARE
ME
Enumeration date
12/17/2012
Last updated
12/17/2012
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