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Individual

SARAH STREET TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, RN

Contact information

Practice address
50 MONUMENT SQ, PORTLAND, ME 04101-4039
(207) 874-1055
(207) 775-4034
Mailing address
50 MONUMENT SQ, P.O. BOX 1868, PORTLAND, ME 04101-4039
(207) 874-1055
(207) 775-4034

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN43972
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP91034
ME

Other

Enumeration date
04/06/2006
Last updated
01/23/2015
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