Individual
DEIRDRE L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CNM
Contact information
Practice address
22 BRAMHALL ST, MAINE MEDICAL CENTER - INTERNAL MEDICINE CLINIC, PORTLAND, ME 04102-3134
(207) 662-2911
(207) 662-6308
Mailing address
11 LEE AVE, SOUTH PORTLAND, ME 04106-3520
(207) 767-2315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81541
ME
367A00000X
Advanced Practice Midwife
CNM82024
ME
Other
Enumeration date
08/01/2006
Last updated
02/13/2013
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