Hothersall, Loretta A

Hothersall, Loretta A is an individual health care provider with primary practice located at 71 Us Route 1 Ste J , Scarborough ME 04074-7168. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hothersall, Loretta A can be contacted via phone (207) 396-6433.

Contact Information

Primary practice address
71 Us Route 1 Ste J Scarborough ME 04074-7168
Phone: (207) 396-6433
Fax: (207) 396-6436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R033570 Maine

Profile Details

NPI number 1174635817
LBN Legal business name Hothersall, Loretta A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174635817 NPPES
Maine MEDICAID 293030099

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