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Contact Information

CAROLYN K GOTHARD, FNP
735 WILSON ST
BREWER, ME04412
 Phone: 207-945-5247
 Fax: 207-990-1248
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CAROLYN K GOTHARD · (Female)

NPI Number 1437155884
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 06/21/2005
Last updated 07/08/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • ME License # AP081480
  • ME License # RO35933
  • ME Medicaid 256450099
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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