BANGOR INTEGRATIVE HEALTH NPI 1659486884

NPI Information

  • NPI: 1659486884
  • Provider Name: BANGOR INTEGRATIVE HEALTH
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 192 PARK ST
    ORONO, ME
    ZIP 04473
  • Phone: (207) 866-9025

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NPI Details

BANGOR INTEGRATIVE HEALTH is a family nurse practitioner in Orono, ME. BANGOR INTEGRATIVE HEALTH NPI is 1659486884. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

192 PARK ST
ORONO, ME
ZIP 04473-602
Phone: (207) 866-9025
Fax: (207) 866-2207

The provider's authorized official is Leona Cerkovitz .
The authorized official title is Owner/provider and has the following contact phone number (207) 866-9025.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 6/22/2009.

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
1163WP0808XRegistered NursePsychiatric/Mental Health038985MAINENo
2363LF0000XNurse PractitionerFamily038985MAINEYes

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
1NG0101MEDICARE ID-TYPE UNSPECIFIEDMAINE

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: 11/21/2025

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