Active NPIOrganization

Aquila Mental Health Services PA Sc

Nurse Practitioner, Psych/Mental Health in Bangor, Maine

NPI Number1417225988
Practice location
175 Union St Ste C, Bangor, ME 04401-6100
Fax
207-433-1032
Last updated
April 30, 2012

Aquila Mental Health Services PA Sc is a healthcare organization based in Bangor, ME. Aquila Mental Health Services PA Sc practices in Bangor, ME. The NPI Number for Aquila Mental Health Services PA Sc is 1417225988 and holds a License No. 81132 (ME). The current practice location address for Aquila Mental Health Services PA Sc is 175 Union St Ste C, Bangor, ME 04401-6100 and can be reached out via phone at 207-992-6269 and via fax at 207-433-1032.

Provider Profile Details

NPI Number
1417225988
Provider Name
Aquila Mental Health Services PA Sc
Provider Entity Type
Organization
Address
175 Union St Ste C, Bangor, ME 04401-6100
Phone Number
207-992-6269
Fax Number
207-433-1032
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Naomi Jean Brown, PMHNP, BC · Owner · 207-992-6269
Provider Enumeration Date
December 12, 2011
Last Update Date
April 30, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Union St Ste C
Bangor, ME 04401-6100
City
Bangor
State
Maine
Zip
04401-6100
Phone Number
207-992-6269
Fax Number
207-433-1032
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
175 Union St Ste C
Bangor, ME 04401-6100
City
Bangor
State
ME
Zip
04401-6100
Phone Number
207-992-6269
Fax Number
207-433-1032

License Information

License Number
81132
License State
ME
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Aquila Mental Health Services PA Sc?

The NPI number of Aquila Mental Health Services PA Sc is 1417225988. It was assigned on December 12, 2011 and is currently active in the NPPES registry.

What is the specialty of Aquila Mental Health Services PA Sc?

Aquila Mental Health Services PA Sc is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in ME under license number 81132.

Where does Aquila Mental Health Services PA Sc practice?

The practice location is 175 Union St Ste C, Bangor, ME 04401-6100. The office can be reached at 207-992-6269 (phone) or 207-433-1032 (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 1417225988 directly on the NPPES registry website.

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