Organization · Type 2 NPI
Granite Hill Family Medicine LLC
Family Nurse Practitioner · Hallowell, ME
NPI number
1114539400
Active
Practice location
89 Water St
Hallowell, ME 04347-1477
Mailing address
PO Box 563
Manchester, ME 04351-0563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1114539400
Granite Hill Family Medicine LLC's National Provider Identifier is 1114539400, issued on Aug 19, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hallowell, ME. The record was last updated on Aug 19, 2020.