Organization · Type 2 NPI
Evergreen Healing Center, LLC
Family Nurse Practitioner · Bangor, ME
NPI number
1578892147
Active
Practice location
224 State St
Bangor, ME 04401-3434
Fax (207) 990-6604
Mailing address
218 Cottrell Rd
Dixmont, ME 04932-3246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Naturopath | 175F00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | AP081246 (ME) |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Bangor
About NPI 1578892147
Evergreen Healing Center, LLC's National Provider Identifier is 1578892147, issued on Dec 10, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bangor, ME. The record was last updated on Oct 26, 2020.