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Melissa N Libby Fnp Llc
Point of Service in South Portland, Maine
NPI 1417350901

Melissa N Libby Fnp Llc is a Point of Service based in South Portland, ME. Melissa N Libby Fnp Llc practices in South Portland, ME. The NPI Number for Melissa N Libby Fnp Llc is 1417350901 and holds a License No. CNP81250 (Maine).

The current practice location address for Melissa N Libby Fnp Llc is 100 Brickhill Ave, South Portland, ME and can be reached out via phone at 207-761-4700 and via fax at 207-761-4744.

Location: 100 Brickhill Ave, South Portland, ME, 04106-1999
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417350901
Provider Name
Melissa N Libby Fnp Llc
Credential
Provider Entity Type
Organization
Address
100 Brickhill Ave, South Portland, ME, 04106-1999
Phone Number
207-761-4700
Fax Number
207-761-4744
Provider Enumeration Date
09/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417350901 05 ME
institution
Provider Business Practice Location Address Details
Address
100 Brickhill Ave
City
South Portland
State
Maine
Zip
04106-1999
Phone Number
207-761-4700
Fax Number
207-761-4744
person
Provider Business Mailing Address Details
Address
100 Brickhill Ave
City
South Portland
State
Maine
Zip
04106-1999
Phone Number
207-761-4700
Fax Number
207-761-4744
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
CNP81250 (Maine)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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