Individual provider · Type 1 NPI

Michelle D. Henneberry, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Bangor, ME

NPI number 1215988852 Active

Practice location

263 State St, Suite 23
Bangor, ME 04401-5435

Fax (207) 945-3444

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR037051 (ME)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1215988852

Michelle D. Henneberry, PMHNP's National Provider Identifier is 1215988852, issued on May 16, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bangor, ME. The record was last updated on Dec 17, 2009.