Provider Demographics
NPI:1710037783
Name:SMITH, MAUREEN (NHCM)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:NHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:ME
Mailing Address - Zip Code:04041-3345
Mailing Address - Country:US
Mailing Address - Phone:207-712-5375
Mailing Address - Fax:
Practice Address - Street 1:721 NOTCH RD
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:ME
Practice Address - Zip Code:04041-3345
Practice Address - Country:US
Practice Address - Phone:207-712-5375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1027176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife