Doctor Name: | RONALD E. CORMIER |
NPI Number: | 1427077312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | R023149 |
Business Practice Address: | 55 Reynolds Road Brooks, ME - 049210159 |
Business Phone Number: | 2077223488 |
Business Fax Number: | 2077223183 |
Mailing Address: | Po Box 159, BROOKS |
State: | ME |
Postal Code: | 049210159 |
Phone Number: | 2077223488 |
Fax Number: | 2077223183 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 02/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | R023149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |