MEDICARE: MARY YVONNE STINCHFIELD FNP

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
1	363LF0000X	Family Nurse Practitioner	R017478	ME

General Provider Information

NPI Number	:	1285800797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY YVONNE STINCHFIELD FNP

Provider Business Mailing Address
First Line	:	PO BOX 1515
Second Line	:
City	:	NAPLES
State	:	ME
Zip	:	04055-1515
Country	:	US
Telephone Number	:	207-693-3912
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 MESERVE ST
Second Line	:
City	:	NAPLES
State	:	ME
Zip	:	04055-5346
Country	:	US
Telephone Number	:	207-693-3912
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2008
Last Update Date	:	05/05/2008

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