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Michelle D Henneberry, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Bangor, Maine
NPI 1215988852

Michelle D Henneberry is a Psychiatric/Mental Health Nurse Practitioner based in Bangor, ME and is specialized in Psychiatric/Mental Health. Michelle D Henneberry practices in Bangor, ME and has the professional credentials of PMHNP. The NPI Number for Michelle D Henneberry is 1215988852 and holds a License No. R037051 (Maine).

The current practice location address for Michelle D Henneberry is 263 State St, Bangor, ME and can be reached out via phone at 207-945-3615 and via fax at 207-945-3444.

Location: 263 State St, Bangor, ME, 04401-5435
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Provider Profile Details
NPI Number
1215988852
Provider Name
Michelle D Henneberry
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
263 State St, Bangor, ME, 04401-5435
Phone Number
207-945-3615
Fax Number
207-945-3444
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
255830000 05 ME
048586 01 ME ANTHEM
institution
Provider Business Practice Location Address Details
Address
263 State St
City
State
Zip
04401-5435
Phone Number
207-945-3615
Fax Number
207-945-3444
person
Provider Business Mailing Address Details
Address
263 State St
City
State
Zip
04401-5435
Phone Number
207-945-3615
Fax Number
207-945-3444
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R037051 (Maine)
Definition
Definition to come...
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