Individual
MS. ELLEN JANE FARNSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 OLD MAST RD, NURSE PRACTITIONER CARE LLC, PORTLAND, ME 04102-1935
(207) 671-4180
Mailing address
55 OLD MAST RD, PORTLAND, ME 04102-1935
(207) 671-4180
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP081049
ME
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP81049
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431776399
—
ME
Enumeration date
01/13/2006
Last updated
10/31/2014
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