Maxeen Wyatt, MT - South Portland, ME

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.

Location: 380 Western Ave, South Portland, ME, 04106-1720

NPI Number

1336308188

Provider Name

Maxeen Wyatt

Credential

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

Identifier	Type	State	Issuer
200890	01	ME	ANTHEM BLUE CROSS BLUE SHIELD

Address

380 Western Ave

City

South Portland

State

Maine

Zip

04106-1720

Phone Number

207-282-5110

Fax Number

Address

380 Western Ave

City

South Portland

State

Maine

Zip

04106-1720

Phone Number

207-282-5110

Fax Number

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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