Individual provider · Type 1 NPI

Nicole L. Mizner, C.P.N.P.

Pediatric Nurse Practitioner · Portland, ME

NPI number 1003049768 Active

Practice location

887 Congress St, Suite 310
Portland, ME 04102-3100

Fax (207) 773-3941

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP091039 (ME)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1003049768

Nicole L. Mizner, C.P.N.P.'s National Provider Identifier is 1003049768, issued on Aug 28, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, ME. The record was last updated on Aug 28, 2009.