person
Mary Desalle, GNP
Gerontology Nurse Practitioner in Saco, Maine
NPI 1427034396

Mary Desalle is a Gerontology Nurse Practitioner based in Brattleboro, ME and is specialized in Gerontology. Mary Desalle practices in Saco, ME and has the professional credentials of GNP. The NPI Number for Mary Desalle is 1427034396 and holds a License No. R026628 (Maine).

The current practice location address for Mary Desalle is 655 Main St, Saco, ME and can be reached out via phone at 207-602-3571 and via fax at 207-602-3573.

Location: 655 Main St, Saco, ME, 05302-0284
person
Provider Profile Details
NPI Number
1427034396
Provider Name
Mary Desalle
Credential
GNP
Provider Entity Type
Individual
Gender
Female
Address
655 Main St, Saco, ME, 05302-0284
Phone Number
207-602-3571
Fax Number
207-602-3573
Provider Enumeration Date
12/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100072 01 ME BCBS
304310001 01 ME CIGNA
1427034396 05 ME
2735452 01 ME AETNA
MN5036 01 ME HPHC
500017332 01 ME RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
655 Main St
City
State
Zip
04072-1543
Phone Number
207-602-3571
Fax Number
207-602-3573
person
Provider Business Mailing Address Details
Address
655 Main St
City
State
Zip
04072-1543
Phone Number
207-602-3571
Fax Number
207-602-3573
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R026628 (Maine)
Definition
Definition to come...
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