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Maxeen Wyatt, MT
Specialist in South Portland, Maine
NPI 1336308188

Maxeen Wyatt is a Specialist based in South Portland, ME. Maxeen Wyatt practices in South Portland, ME and has the professional credentials of MT. The NPI Number for Maxeen Wyatt is 1336308188 and holds a License No. MT3231 (Maine).

The current practice location address for Maxeen Wyatt is 380 Western Ave, South Portland, ME and can be reached out via phone at 207-282-5110. You can also correspond with Maxeen Wyatt through the mailing address at 380 WESTERN AVE, SOUTH PORTLAND, ME - 04106-1720 (mailing address contact number: 207-239-4240).

Location: 380 Western Ave, South Portland, ME, 04106-1720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336308188
Provider Name
Maxeen Wyatt
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
380 Western Ave, South Portland, ME, 04106-1720
Phone Number
207-282-5110
Fax Number
Provider Enumeration Date
06/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200890 01 ME ANTHEM BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
380 Western Ave
City
South Portland
State
Maine
Zip
04106-1720
Phone Number
207-282-5110
Fax Number
person
Provider Business Mailing Address Details
Address
380 Western Ave
City
South Portland
State
Maine
Zip
04106-1720
Phone Number
207-282-5110
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MT3231 (Maine)
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.
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