Individual provider · Type 1 NPI

Lisa Madge Grindle, PMH-NP

Nurse Practitioner · Bangor, ME

NPI number 1467515056 Active

Practice location

175 Union St., Suite C
Bangor, ME 04401

Fax (207) 433-1038

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XR036574 (ME)
Nurse Practitioner Primary 363L00000XAP081803 (ME)

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 1467515056

Lisa Madge Grindle, PMH-NP's National Provider Identifier is 1467515056, issued on Dec 18, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bangor, ME. The record was last updated on May 30, 2012.