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Individual

ABIGAIL LEAVITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LMT

Contact information

Practice address
75 UNION ST APT 3, BRUNSWICK, ME 04011-2433
(207) 595-2413
Mailing address
75 UNION ST APT 3, BRUNSWICK, ME 04011-2433
(207) 595-2413

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R04941
ME
163WH0200X
Home Health Registered Nurse
Primary
RN49491
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4323013999
ME
Enumeration date
03/21/2007
Last updated
01/13/2025
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