Mary Delois,F.N.P.,LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R023829 Issued in ME

Legal business name

MARY DELOIS,F.N.P.,LLC

Practice address

260 Western Avenue
South Portland, ME 04106

Phone

(207) 761-4700

NPI assigned

May 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Delois

Title

F.N.P.

Phone

(207) 761-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1194937250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BANCROFT STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WESTERN AVENUE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-761-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY DELOIS,F.N.P.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "DELOIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "F.N.P.",
        "authorized_official_telephone_number": "207-761-4700"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R023829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURDING LISCENCE",
            "identifier": "R023829",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Calvin Martensen III, PA-C
• Kerry Martin, PHARMD
• Lea Nicole Martin, PHARMD
• Lydia Martzial, LMSW-CC
• Mary C. Hazzard, LCPC
• Erin Masterson, MOT, OTR/L
• Rachael Mathieu, LCSW
• Alexandre Buio Mavungo
• Sarah Beth Maxner, LMSW
• Laura Maxwell, RN

• Family Nurse Practitioner in South Portland, ME
• Providers in South Portland, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.