Individual
OLIVIA DESENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 W COLE RD STE 102, BIDDEFORD, ME 04005-9407
(207) 756-0790
Mailing address
4 IVIE RD, CAPE ELIZABETH, ME 04107-1714
(207) 756-0790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP211084
ME
363L00000X
Nurse Practitioner
RN65220
ME
Other
Enumeration date
12/19/2019
Last updated
04/29/2021
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