Heustis Whiteside III
NPI #1437552916 in Farmington, Maine
Provider Information
- NPI Number
- 1437552916
- Entity Type
- Individual
- Name
- Heustis Whiteside III
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Sep 29, 2014
- Last Updated
- Sep 29, 2014
Practice Location
- Address
- 107 BOX SHOP HL
- City
- Farmington
- State
- Maine
- ZIP Code
- 04938-5749
- Phone
- (207) 860-4090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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