NPI 1417350901

Melissa N Libby Fnp LLC

Organisation Point of Service South Portland, ME

Practice location

Address: 100 Brickhill Ave Suite 304, South Portland, ME 04106-1999
Phone: (207) 761-4700
Fax: (207) 761-4744

Authorised official

Name: Melissa N Libby
Title: President
Phone: (207) 761-4700

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence CNP81250 (ME)

Other Point of Service providers in Maine →

Registry record

NPI: 1417350901
Entity type: Organization
NPI issued: 29 Sep 2014
Record last updated: 16 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.