Doctor Name: | ERIN MORNEAULT |
NPI Number: | 1588877336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 75 John Roberts Rd Bldg B South Portland, ME - 041066964 |
Business Phone Number: | 2077754151 |
Business Fax Number: | 2077756950 |
Mailing Address: | 301 Us Route 1, SCARBOROUGH |
State: | ME |
Postal Code: | 040747609 |
Phone Number: | 2073968600 |
Fax Number: | 2073968632 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 01/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |