Individual
ASHLEY MAUREEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
84 MARGINAL WAY STE 700, PORTLAND, ME 04101
(207) 774-5816
(207) 523-8597
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP181113
ME
Other
Enumeration date
07/11/2018
Last updated
08/20/2018
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