Provider Demographics
NPI:1184891269
Name:ARTHUR, MARYANN G
Entity type:Individual
Prefix:MRS
First Name:MARYANN
Middle Name:G
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 D & B LANE
Mailing Address - Street 2:
Mailing Address - City:BUCKFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04220
Mailing Address - Country:US
Mailing Address - Phone:207-336-2769
Mailing Address - Fax:
Practice Address - Street 1:26 D & B LANE
Practice Address - Street 2:
Practice Address - City:BUCKFIELD
Practice Address - State:ME
Practice Address - Zip Code:04220
Practice Address - Country:US
Practice Address - Phone:207-336-2769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEALLS2676253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency