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NPI Code Detail

MEDICARE: OLIVIA R GOLDFINE NP

MEDICARE: OLIVIA R GOLDFINE NP
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
1163W00000XRegistered NurseR055783ME
2363LA2200XAdult Health Nurse PractitionerCNP111079ME

General Provider Information

NPI Number : 1730460957
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA R GOLDFINE NP
Provider Business Mailing Address
First Line : 8 CLARKS POINT RD
Second Line :
City : WISCASSET
State : ME
Zip : 04578-4060
Country : US
Telephone Number : 207-265-6546
Fax Number :
Provider Business Practice Location Address
First Line : 9900 BREN RD E
Second Line :
City : MINNETONKA
State : MN
Zip : 55343-9664
Country : US
Telephone Number : 952-992-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2011
Last Update Date : 06/28/2020

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