Molly Bondurant
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portland, ME
NPI 1083448385 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1083448385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 716 Stevens Ave
Portland, ME 04103-2656 - Phone
- (207) 221-4516
- NPI assigned
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
716 Stevens Ave
Portland, ME 04103-2656
Mailing address
18 Avocado LN
Gilford, NH 03249-7804
Other providers in Portland, ME
- Margaret Renee Bolognia
- Jennifer E Bolton
- Amanda Bombard
- Juliana Joan Bonardi
- Isabella Bonder
- Kristin Rose Bonenfant
- Shulamith C Bonham
- Anna Marie Boniakowski
- Benjamin Pryor Bonner
- Daniel M Bonner
All providers in Portland, ME · Student in an Organized Health Care Education/Training Program in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.