Individual provider · Type 1 NPI
Fang Li
Nurse Practitioner · Bangor, ME
Practice location
489 State St
Bangor, ME 04401-6616
Fax (207) 973-4441
Mailing address
43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | CNP241129 (ME) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1154101632
Fang Li's National Provider Identifier is 1154101632, issued on Oct 3, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bangor, ME. The record was last updated on Jan 14, 2026.