SALLY CARLISLE APRN NPI 1922180702

NPI Information

NPI: 1922180702
Provider Name: SALLY CARLISLE, APRN
Classification: Registered Nurse - 163WP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

Address:
42 CEDAR ST
BANGOR, ME
ZIP 04401
Phone: (207) 947-0366
Get Directions

Sally Carlisle, APRN is a psychiatric/mental health and child and adolescent registered nurse in Bangor, ME. Sally Carlisle, APRN NPI is 1922180702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

42 CEDAR ST
BANGOR, ME
ZIP 04401-433
Phone: (207) 947-0366
Fax: (207) 990-3896

The enumeration date for this NPI number is 10/20/2006 and was last updated on 5/30/2013.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	AS084015	MAINE	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P53928	MEDICARE UPIN
2	NS8065	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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