MEDICARE: ANNE C PERRY 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	R031727	ME

General Provider Information

NPI Number	:	1679669725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE C PERRY FNP

Provider Business Mailing Address
First Line	:	43 PALMER ST
Second Line	:
City	:	CALAIS
State	:	ME
Zip	:	04619-1305
Country	:	US
Telephone Number	:	207-454-8150
Fax Number	:	207-454-0256

Provider Business Practice Location Address
First Line	:	37 PALMER ST
Second Line	:
City	:	CALAIS
State	:	ME
Zip	:	04619-1305
Country	:	US
Telephone Number	:	207-454-8195
Fax Number	:	207-454-2840

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	07/08/2007

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Directions to “ ANNE C PERRY FNP” Practice Location

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