Individual provider · Type 1 NPI

Nicole K. Moore, PAC

Medical Physician Assistant · Bangor, ME

NPI number 1679988737 Active

Practice location

992 Union St Ste 5
Bangor, ME 04401-3057

Fax (207) 404-8351

Mailing address

PO Box 1599
Bangor, ME 04402-1599

Other practice locations

  • 489 State St, Kelly 6, Bangor, ME 04401 · (207) 973-6605
  • 43 Whiting Hill Rd Ste 300, Brewer, ME 04412-1006 · (207) 973-4266

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA1477 (ME)

Medical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1679988737

Nicole K. Moore, PAC's National Provider Identifier is 1679988737, issued on Jun 27, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bangor, ME. The record was last updated on May 6, 2021.