Individual provider · Type 1 NPI

Ginny Crockett-Maillet, WHNP

Women's Health Nurse Practitioner · Portland, ME

NPI number 1669879680 Active

Practice location

195 Fore River Pkwy, Suite 360
Portland, ME 04102-2780

Mailing address

General Delivery
Wiscasset, ME 04578-9999

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X081878 (ME)

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

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About NPI 1669879680

Ginny Crockett-Maillet, WHNP's National Provider Identifier is 1669879680, issued on Nov 20, 2014. 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 Nov 20, 2014.