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Individual

EMILY M ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 553-6300
Mailing address
PO BOX 656, PORTLAND, ME 04104-0656
(207) 741-1163

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
28223297A
IN
363LN0000X
Neonatal Nurse Practitioner
71009174A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
CNP221168
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952960171
ME
Enumeration date
06/11/2019
Last updated
03/01/2023
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