Most Relevant Information
Provider Data
| NPI Number: | 1003439779 |
| Provider Name: | MATTHEW SCOTT AUSTIN CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/28/2020 |
| Last Updated: | 09/19/2022 |
Provider Practice Location
22 BRAMHALL ST
PORTLAND
ME
041023175
Practice Location Phone/Fax
| Phone: | 2076622526 |
| Fax: |
Provider Mailing Location
1630 WASHINGTON AVE
PORTLAND
ME
041032043
Provider Mailing Phone/Fax
| Phone: | 2079497910 |
| Fax: |