| Doctor Name: | MRS. MARY M HANNAFORD |
| NPI Number: | 1083725998 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 47248 |
| Business Practice Address: | 655 Main St Saco, ME - 040721543 |
| Business Phone Number: | 2072943100 |
| Business Fax Number: | 2072863709 |
| Mailing Address: | 77 S Hiram Rd, HIRAM |
| State: | ME |
| Postal Code: | 040413669 |
| Phone Number: | 2076257786 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 47248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |