Most Relevant Information
Provider Data
| NPI Number: | 1003078080 |
| Provider Name: | HEIDI M ROY FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | CNP81911 |
Most Important Dates
| Enumeration Date: | 06/30/2008 |
| Last Updated: | 08/17/2012 |
Provider Practice Location
96 CAMPUS DRIVE
SUITE 1
SCARBOROUGH
ME
04074
Practice Location Phone/Fax
| Phone: | 2078859905 |
| Fax: | 2073965600 |
Provider Mailing Location
301C US ROUTE ONE
SCARBOROUGH
ME
040749701
Provider Mailing Phone/Fax
| Phone: | 2073968600 |
| Fax: | 2073968632 |