Individual
LINDA ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
11 WILLOWDALE RD, SCARBOROUGH, ME 04074-9091
(207) 772-1022
(207) 772-2022
Mailing address
11 WILLOWDALE RD, SCARBOROUGH, ME 04074-9091
(207) 772-1022
(207) 772-2022
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R020870
ME
Other
Enumeration date
04/12/2006
Last updated
10/09/2008
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