MABEL WADSWORTH WOMEN'S HEALTH CENTER NPI 1841281128

NPI Information

MABEL WADSWORTH WOMEN'S HEALTH CENTER is a women's health nurse practitioner in Bangor, ME. MABEL WADSWORTH WOMEN'S HEALTH CENTER NPI is 1841281128. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mabel Wadsworth Center.

The provider's business location address is:

700 MT HOPE AVE
SUITE 420
BANGOR, ME
ZIP 04401
Phone: (207) 947-5337
Fax: (207) 947-9163

The provider's authorized official is Kate Waning .
The authorized official title is Director Of Finance & Operations and has the following contact phone number (207) 947-5337.

The CLIA number assigned to this NPI record is 20D0892965 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/4/2005 and was last updated on 12/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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