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Lisa L Bulthuis, NP
Family Nurse Practitioner in South Portland, Maine
NPI 1689636607

Lisa L Bulthuis is a Family Nurse Practitioner based in South Portland, ME and is specialized in Family. Lisa L Bulthuis practices in South Portland, ME and has the professional credentials of NP. The NPI Number for Lisa L Bulthuis is 1689636607 and holds a License No. CNP81553 (Maine).

The current practice location address for Lisa L Bulthuis is 100 Foden Rd, West, South Portland, ME and can be reached out via phone at 207-523-3904 and via fax at 207-523-8588.

Location: 100 Foden Rd, West, South Portland, ME, 04106
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Provider Profile Details
NPI Number
1689636607
Provider Name
Lisa L Bulthuis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
100 Foden Rd, West, South Portland, ME, 04106
Phone Number
207-523-3904
Fax Number
207-523-8588
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E400409706 01 ME MEDICARE
E400409710 01 ME MEDICARE
institution
Provider Business Practice Location Address Details
Address
100 Foden Rd, West
City
State
Zip
04106
Phone Number
207-523-3904
Fax Number
207-523-8588
person
Provider Business Mailing Address Details
Address
100 Foden Rd, West
City
State
Zip
04106
Phone Number
207-523-3904
Fax Number
207-523-8588
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
CNP81553 (Maine)
Definition
Definition to come...
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