person
Marisa Crommett Stevens
Primary Care Nurse Practitioner in Portland, Maine
NPI 1104461151

Marisa Crommett Stevens is a Primary Care Nurse Practitioner based in Colchester, ME and is specialized in Primary Care. Marisa Crommett Stevens practices in Portland, ME. The NPI Number for Marisa Crommett Stevens is 1104461151 and holds a License No. 081681-23 (Maine).

The current practice location address for Marisa Crommett Stevens is 443 Congress St Fl 2, Portland, ME and can be reached out via phone at 866-476-1321 and via fax at 802-660-9437.

Location: 443 Congress St Fl 2, Portland, ME, 05446-8049
person
Provider Profile Details
NPI Number
1104461151
Provider Name
Marisa Crommett Stevens
Credential
Provider Entity Type
Individual
Gender
Female
Address
443 Congress St Fl 2, Portland, ME, 05446-8049
Phone Number
866-476-1321
Fax Number
802-660-9437
Provider Enumeration Date
11/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3122699 05 NH
institution
Provider Business Practice Location Address Details
Address
443 Congress St Fl 2
City
State
Zip
04101-3531
Phone Number
866-476-1321
Fax Number
802-660-9437
person
Provider Business Mailing Address Details
Address
443 Congress St Fl 2
City
State
Zip
04101-3531
Phone Number
866-476-1321
Fax Number
802-660-9437
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
081681-23 (New Hampshire)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
081681-23 (New Hampshire)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
081681-23 (New Hampshire)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
081681-23 (New Hampshire)
Definition
Definition to come...
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