Provider Information for 1386402766
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ANNETTE FRANCES NELLIGAN
Sex: Female
NPI: 1386402766
Last Updated: 2024-03-11
Certification Date: 2024-03-10
Certification Date: 2024-03-10
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386402766 | ||||||||||||
| Enumeration Date | 2024-03-11 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 24 ALBERT LN GLENBURN, ME 04401-1025 United States Phone: 207-944-8266 | Fax: | ||||||||||||
| Primary Practice Address | 24 ALBERT LN GLENBURN, ME 04401-1025 United States Phone: 207-944-8266 | Fax: | ||||||||||||
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