Healthcare Provider Details

I. General information

NPI: 1629905971
Provider Name (Legal Business Name): RYLEE MARIE MUNDAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DR
BIDDEFORD ME
04005-9422
US

IV. Provider business mailing address

126 WESTVIEW DR
SANFORD ME
04073-4212
US

V. Phone/Fax

Practice location:
  • Phone: 207-283-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN91227
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: