Doctor Name: | MS. NATALIE POULIN |
NPI Number: | 1306277272 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MT5192 |
Business Practice Address: | 8 Elm St Suite 1 Gorham, ME - 040381506 |
Business Phone Number: | 2078396800 |
Business Fax Number: | 2078396801 |
Mailing Address: | 8 Elm St, Suite 1 GORHAM |
State: | ME |
Postal Code: | 040381506 |
Phone Number: | 2078396800 |
Fax Number: | 2078396801 |
NPI Enumeration Date: | 12/03/2013 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MT5192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |