MELISSA N LIBBY FNP LLC NPI 1417350901

NPI Information

MELISSA N LIBBY FNP LLC is a point of service in South Portland, ME. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. MELISSA N LIBBY FNP LLC NPI is 1417350901. The provider is registered as an organization entity type.

The provider's business location address is:

100 BRICKHILL AVE
SUITE 304
SOUTH PORTLAND, ME
ZIP 04106-999
Phone: (207) 761-4700
Fax: (207) 761-4744

The provider's authorized official is Melissa N Libby .
The authorized official title is President and has the following contact phone number (207) 761-4700.

The enumeration date for this NPI number is 9/29/2014 and was last updated on 4/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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