Individual
DANIELLE K FOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33 WHITING HILL RD., EMMC CANCERCARE OF MAINE, BREWER, ME 04412
(207) 973-7478
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN34521
ME
Other
Enumeration date
08/19/2006
Last updated
08/16/2016
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