Collari, Mary

Collari, Mary is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Collari, Mary can be contacted via phone (207) 662-5400.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 210977 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM212002 Maine

Profile Details

NPI number 1851359483
LBN Legal business name Collari, Mary
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated May 23rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851359483 NPPES
Massachusetts MEDICAID 0344630

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