Individual provider · Type 1 NPI

Brandi Lyon Nickerson, PA-C

Medical Physician Assistant · Bangor, ME

NPI number 1083164933 Active

Practice location

1 Northeast Dr
Bangor, ME 04401-4332

Call (207) 275-3800 Map

Mailing address

43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA1652 (ME)

Medical Physician Assistant: Definition to come...

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About NPI 1083164933

Brandi Lyon Nickerson, PA-C's National Provider Identifier is 1083164933, issued on Oct 4, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bangor, ME. The record was last updated on Feb 19, 2026.