| Doctor Name: | MICHAEL URBAN TRUEWORTHY |
| NPI Number: | 1003885690 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | C.N.P. |
| License Number: | R023237 |
| Business Practice Address: | 837 Broadway South Portland, ME - 041062708 |
| Business Phone Number: | 2077992200 |
| Business Fax Number: | 2077992001 |
| Mailing Address: | 8 Byrd Avenue, SCARBOROUGH |
| State: | ME |
| Postal Code: | 040749779 |
| Phone Number: | 2077992200 |
| Fax Number: | 2077992001 |
| NPI Enumeration Date: | 03/16/2006 |
| NPI Last Update Date: | 05/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | R023237 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |