Doctor Name: | FRANCINE DALFONSO |
NPI Number: | 1023064953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP081268 |
Business Practice Address: | 81 Medical Center Dr 2350 Brunswick, ME - 040112764 |
Business Phone Number: | 2073736690 |
Business Fax Number: | 2073736695 |
Mailing Address: | 81 Medical Center Dr, 2350 BRUNSWICK |
State: | ME |
Postal Code: | 040112764 |
Phone Number: | 2073736690 |
Fax Number: | 2073736695 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 02/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP081268 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |