University of Southern Maine

NPI #1518201250 in Gorham, Maine

Provider Information

NPI Number
1518201250
Entity Type
Organization
Organization Name
University of Southern Maine
Subpart
Yes (part of a larger organization)
Parent Organization
UNIVERSITY OF MAINE SYSTEM
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Nov 19, 2012
Last Updated
Nov 19, 2012

Practice Location

Address
37 COLLEGE AVE
Address 2
125 UPTON HALL
City
Gorham
State
Maine
ZIP Code
04038-1032
Phone
(207) 780-5411

Authorized Official

Name
MS. LISA GARNER BELANGER, APRN
Title
DIRECTOR, HEALTH SERVICES
Phone
(207) 780-5160

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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