Individual
BETHANY ROSE MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
181 MAIN ST, NORWAY, ME 04268-5664
(207) 744-6117
Mailing address
265 WESTERN AVE STE 2, SOUTH PORTLAND, ME 04106-2458
(207) 661-0200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP201234
ME
Other
Enumeration date
07/28/2020
Last updated
08/26/2020
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