MIRANDA WILLETT RN NPI 1083650204

NPI Information

NPI: 1083650204
Provider Name: MIRANDA WILLETT, RN
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
68 MOUNT HOPE AVE
BANGOR, ME
ZIP 04401
Phone: (207) 770-5457
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Miranda Willett, RN is an addiction (substance use disorder) registered nurse in Bangor, ME. Miranda Willett, RN NPI is 1083650204. 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:

68 MOUNT HOPE AVE
BANGOR, ME
ZIP 04401-096
Phone: (207) 770-5457

The enumeration date for this NPI number is 6/22/2006 and was last updated on 12/21/2023.

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	376K00000X	Nurse's Aide				No
2	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	RN65159	MAINE	Yes

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: 5/5/2024

NPI Synchronization or Removal

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