| Doctor Name: | JULIE L BAITHER |
| NPI Number: | 1164584652 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | R033263 |
| Business Practice Address: | 100 Campus Drive Suite 108 Scarborough, ME - 04074 |
| Business Phone Number: | 2073967600 |
| Business Fax Number: | 2073967986 |
| Mailing Address: | P.o. Box 911, BRATTLEBORO |
| State: | VT |
| Postal Code: | 05302 |
| Phone Number: | 2073967600 |
| Fax Number: | 2073967986 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 11/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R033263 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |