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NPI Code Detail

MEDICARE: NANCY A QUINT CRNA

MEDICARE: NANCY A QUINT CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistR028884ME

General Provider Information

NPI Number : 1124105499
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY A QUINT CRNA
Provider Business Mailing Address
First Line : 100 GANNETT DR STE C
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-5900
Country : US
Telephone Number : 207-347-2947
Fax Number : 207-874-2317
Provider Business Practice Location Address
First Line : 84 MARGINAL WAY STE 1000
Second Line :
City : PORTLAND
State : ME
Zip : 04101-2477
Country : US
Telephone Number : 207-347-2898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 03/04/2026

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