Individual provider · Type 1 NPI

Christine M. Stam, APRN-PNP

Pediatric Nurse Practitioner · Portland, ME

NPI number 1457785578 Active

Practice location

22 Bramhall Street
Portland, ME 04102

Fax (207) 662-6063

Mailing address

301C US Route 1
Scarborough, ME 04074

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XCNP131002 (ME)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1457785578

Christine M. Stam, APRN-PNP's National Provider Identifier is 1457785578, issued on Aug 26, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, ME. The record was last updated on Dec 26, 2014.