Individual provider · Type 1 NPI

Marisa Crommett Stevens

Women's Health Nurse Practitioner · Portland, ME

NPI number 1104461151 Active

Practice location

443 Congress St Fl 2
Portland, ME 04101-3531

Fax (802) 660-9437

Mailing address

784 Hercules Dr Ste 110
Colchester, VT 05446-8049

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X081681-23 (NH)
Gerontology Nurse Practitioner 363LG0600X081681-23 (NH)
Women's Health Nurse Practitioner Primary 363LW0102X081681-23 (NH)
Primary Care Nurse Practitioner 363LP2300X081681-23 (NH)

Women's Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1104461151

Marisa Crommett Stevens's National Provider Identifier is 1104461151, issued on Nov 14, 2019. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Portland, ME. The record was last updated on Sep 23, 2021.