| Doctor Name: | MARY P DELOIS |
| NPI Number: | 1003963232 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,MSN,F.N.P.-C |
| License Number: | R023829 |
| Business Practice Address: | 260 Western Ave South Portland, ME - 041062432 |
| Business Phone Number: | 2077614700 |
| Business Fax Number: | 2077614744 |
| Mailing Address: | 125 Bancroft St, PORTLAND |
| State: | ME |
| Postal Code: | 041022028 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R023829 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |