Most Relevant Information
Provider Data
| NPI Number: | 1003597253 |
| Provider Name: | SAMANTHA DEVEAU PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | CNP231410 |
Most Important Dates
| Enumeration Date: | 07/31/2023 |
| Last Updated: | 07/24/2024 |
Provider Practice Location
70 MAIN ST
PORTER
ME
040683527
Practice Location Phone/Fax
| Phone: | 2076258126 |
| Fax: |
Provider Mailing Location
70 MAIN ST
PORTER
ME
040683527
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |