Gordon, Mary E

Gordon, Mary E is an individual health care provider with primary practice located at 325E Kennedy Memorial Dr , Waterville ME 04901-4531. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gordon, Mary E can be contacted via phone (207) 873-5665.

Contact Information

Primary practice address
325E Kennedy Memorial Dr Waterville ME 04901-4531
Phone: (207) 873-5665
Fax: (207) 873-5545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R016730 Maine

Profile Details

NPI number 1609863182
LBN Legal business name Gordon, Mary E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Nov 28th, 2007 - about 19 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 1609863182 NPPES
Maine Other 040648 ANTHEM
Maine Other 39369 ANTHEM

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