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NPI 1962933101 · live from the CMS NPI Registry

Danielle Leahy

Anesthesiology in Portland, ME. National Provider Identifier 1962933101, active.

NPI record

NPI1962933101 Type 1 · individual
StatusActive
Primary specialtyAnesthesiology 207L00000X
Practice location22 Bramhall St, Portland, ME 04102
Practice phone207-482-7800
Mailing address324 Gannett Dr Ste 200, South Portland, ME 04106
EnumeratedMarch 21, 2017
Last updatedJune 22, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology, Critical Care Medicine207LC0200XD91549 (MD)
Anesthesiology primary207L00000XMD26960 (ME)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.