| Doctor Name: | MS. ILA MAE |
| NPI Number: | 1346512233 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN RN |
| License Number: | R035036 |
| Business Practice Address: | 32 Down St Indian Island, ME - 044681214 |
| Business Phone Number: | 2079910748 |
| Business Fax Number: | |
| Mailing Address: | 32 Down St, INDIAN ISLAND |
| State: | ME |
| Postal Code: | 044681214 |
| Phone Number: | 2079910748 |
| Fax Number: | |
| NPI Enumeration Date: | 02/07/2012 |
| NPI Last Update Date: | 02/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | R035036 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |