Organization · Type 2 NPI

Minuteclinic Diagnostic of Maine, LLC

Family Nurse Practitioner · South Portland, ME

NPI number 1063151769 Active

Practice location

51 Market St
South Portland, ME 04106-3617

Mailing address

1 Cvs Dr
Woonsocket, RI 02895-6146

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Family Medicine Physician 207Q00000XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1063151769

Minuteclinic Diagnostic of Maine, LLC's National Provider Identifier is 1063151769, issued on Jun 1, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Portland, ME. The record was last updated on Jun 1, 2022.