Doctor Name: | ANNE MCMATH |
NPI Number: | 1003938259 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | AP081640 |
Business Practice Address: | 193 Main St Ste 9 Norway, ME - 042685647 |
Business Phone Number: | 2077438766 |
Business Fax Number: | 2077431579 |
Mailing Address: | 301 Us Route 1, Building C SCARBOROUGH |
State: | ME |
Postal Code: | 040747609 |
Phone Number: | 2073968600 |
Fax Number: | 2073968632 |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 11/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | AP081640 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |