Lisa Ann Theriault, FNP
NPI #1720554611 in Waterville, Maine
Provider Information
- NPI Number
- 1720554611
- Entity Type
- Individual
- Name
- Lisa Ann Theriault, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Oct 17, 2018
- Last Updated
- Oct 17, 2018
Practice Location
- Address
- 7 HIGHWOOD ST
- City
- Waterville
- State
- Maine
- ZIP Code
- 04901-5739
- Phone
- (207) 873-0705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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