Individual
TAMMY THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
Mailing address
PO BOX 191, NORTH ANSON, ME 04958-0191
(207) 649-7583
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN53378
ME
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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