Individual provider · Type 1 NPI

Mary E. Therriault, N.P.

Obstetrics & Gynecology Nurse Practitioner · Bangor, ME

NPI number 1699716928 Active

Practice location

792 State St
Bangor, ME 04401-5610

Fax (207) 941-8342

Mailing address

67 Clark Hill Rd
East Holden, ME 04429-7248

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XCNP81724 (ME)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1699716928

Mary E. Therriault, N.P.'s National Provider Identifier is 1699716928, issued on Jun 9, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Bangor, ME. The record was last updated on Jul 17, 2013.