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NPI Code Detail

MEDICARE: YANGHEE KWON COURBRON WHNP

MEDICARE: YANGHEE KWON COURBRON WHNP
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
1363LW0102XWomen's Health Nurse PractitionerCNP171049ME

General Provider Information

NPI Number : 1760739650
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANGHEE KWON COURBRON WHNP
Provider Business Mailing Address
First Line : 300 PROFESSIONAL DR STE 2B
Second Line :
City : SCARBOROUGH
State : ME
Zip : 04074-8897
Country : US
Telephone Number : 207-761-1502
Fax Number : 207-774-2015
Provider Business Practice Location Address
First Line : 300 PROFESSIONAL DR STE 2B
Second Line :
City : SCARBOROUGH
State : ME
Zip : 04074-8897
Country : US
Telephone Number : 207-761-1502
Fax Number : 207-774-2015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2012
Last Update Date : 01/13/2026

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