- Practice location
- 655 Main St, Saco, ME 04072-1543
- Phone
- 207-602-3571
- Fax
- 207-602-3573
- Last updated
- February 5, 2013
Mary Desalle is a Nurse Practitioner, Gerontology based in Saco, ME. 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 (ME). The current practice location address for Mary Desalle is 655 Main St, Saco, ME 04072-1543 and can be reached out via phone at 207-602-3571 and via fax at 207-602-3573.
Provider Profile Details
- NPI Number
- 1427034396
- Provider Name
- Mary Desalle
- Credential
- GNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 655 Main St, Saco, ME 04072-1543
- Phone Number
- 207-602-3571
- Fax Number
- 207-602-3573
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 21, 2005
- Last Update Date
- February 5, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 655 Main St
Saco, ME 04072-1543 - City
- Saco
- State
- Maine
- Zip
- 04072-1543
- Phone Number
- 207-602-3571
- Fax Number
- 207-602-3573
Provider Business Mailing Address Details
- Address
- Po Box 284
Brattleboro, VT 05302-0284 - City
- Brattleboro
- State
- VT
- Zip
- 05302-0284
- Phone Number
- 207-784-2554
- Fax Number
- 207-777-5363
License Information
- License Number (1)
- R026628
- License State (1)
- ME
- Taxonomy (1)
- Nurse Practitioner, Gerontology · 363LG0600X
- License Number (2)
- AP081312
- License State (2)
- ME
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary Desalle, GNP?
The NPI number of Mary Desalle, GNP is 1427034396. It was assigned on December 21, 2005 and is currently active in the NPPES registry.
What is the specialty of Mary Desalle, GNP?
Mary Desalle, GNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in ME under license number R026628.
Where does Mary Desalle, GNP practice?
The practice location is 655 Main St, Saco, ME 04072-1543. The office can be reached at 207-602-3571 (phone) or 207-602-3573 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427034396 directly on the NPPES registry website.