NPI 1104201011

Dana L Villmore, PA

Practitioner Physician Assistant Westbrook, ME

Practice location

Address: Intermed Onsite at Idexx 1 Idexx Drive, Westbrook, ME 04092
Phone: (207) 556-6802
Fax: (207) 556-4434
Mailing address: 100 Gannett Drive Suite C, South Portland, ME 04106

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA1554 (ME)

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Registry record

NPI: 1104201011
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2015
Record last updated: 18 Dec 2019

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.