Active NPIIndividual provider

Retha K Bobb, PNP

Nurse Practitioner in Bangor, Maine

NPI Number1053416321
Practice location
1068 Union St, Bangor, ME 04401-3016
Fax
207-990-3365
Last updated
June 29, 2010

Retha K. Bobb is a Nurse Practitioner based in Bangor, ME. Retha K. Bobb practices in Bangor, ME and has the professional credentials of PNP. The NPI Number for Retha K. Bobb is 1053416321 and holds a License No. R020258 (ME). The current practice location address for Retha K. Bobb is 1068 Union St, Bangor, ME 04401-3016 and can be reached out via phone at 207-947-0147 and via fax at 207-990-3365.

Provider Profile Details

NPI Number
1053416321
Provider Name
Retha K. Bobb
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
1068 Union St, Bangor, ME 04401-3016
Phone Number
207-947-0147
Fax Number
207-990-3365
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
September 13, 2006
Last Update Date
June 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1068 Union St
Bangor, ME 04401-3016
City
Bangor
State
Maine
Zip
04401-3016
Phone Number
207-947-0147
Fax Number
207-990-3365
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
Po Box 1599
Bangor, ME 04402-1599
City
Bangor
State
ME
Zip
04402-1599
Phone Number
207-945-5247
Fax Number
207-947-0435

License Information

License Number (1)
R020258
License State (1)
ME
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
AP081666
License State (2)
ME
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Retha K Bobb, PNP?

The NPI number of Retha K Bobb, PNP is 1053416321. It was assigned on September 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Retha K Bobb, PNP?

Retha K Bobb, PNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in ME under license number R020258.

Where does Retha K Bobb, PNP practice?

The practice location is 1068 Union St, Bangor, ME 04401-3016. The office can be reached at 207-947-0147 (phone) or 207-990-3365 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053416321 directly on the NPPES registry website.

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