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Elexa Nickerson
NPI 1285188052 · on the registry since 2016
Practice
- Address
- 117 Bennoch Rd
Orono, ME 04473 - Phone
- (207) 866-4914
- Organisation at this address
- Orono Operations, Llc
Orono Operations, Llc
117 Bennoch Road Opco, Llc
117 Bennoch Road Opco, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine