Individual provider · Type 1 NPI

Mary Desalle, GNP

Gerontology Nurse Practitioner · Saco, ME

NPI number 1427034396 Active

Practice location

655 Main St
Saco, ME 04072-1543

Fax (207) 602-3573

Mailing address

PO Box 284
Brattleboro, VT 05302-0284

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XR026628 (ME)
Gerontology Nurse Practitioner Primary 363LG0600XAP081312 (ME)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1427034396

Mary Desalle, GNP's National Provider Identifier is 1427034396, issued on Dec 21, 2005. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Saco, ME. The record was last updated on Feb 5, 2013.