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Individual

MOLLIE MAHANNA FLAHAVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, RN

Contact information

Practice address
46 BARRA RD, BIDDEFORD, ME 04005-9459
(207) 282-3349
(207) 294-8898
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN48244
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP81173
ME

Other

Enumeration date
04/14/2006
Last updated
09/19/2018
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