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Contact Information

LIVE WELL DIRECT PRIMARY CARE AND CONSULTING
37 PARK CIR
CAPE ELIZABETH, ME04107-9682
 Phone: 207-939-2376
 Fax: 866-709-3494
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LIVE WELL DIRECT PRIMARY CARE AND CONSULTING · (Female)

NPI # 1619764768
Status Active
Credentials
Entity Individual
Enumeration date 04/22/2025
Last updated 04/22/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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