- Practice location
- 192 Park St, Orono, ME 04473-4602
- Phone
- 207-866-9025
- Fax
- 207-866-2207
- Last updated
- June 22, 2009
Bangor Integrative Health is a healthcare organization based in Orono, ME. Bangor Integrative Health practices in Orono, ME. The NPI Number for Bangor Integrative Health is 1659486884 and holds a License No. 038985 (ME). The current practice location address for Bangor Integrative Health is 192 Park St, Orono, ME 04473-4602 and can be reached out via phone at 207-866-9025 and via fax at 207-866-2207.
Provider Profile Details
- NPI Number
- 1659486884
- Provider Name
- Bangor Integrative Health
- Provider Entity Type
- Organization
- Address
- 192 Park St, Orono, ME 04473-4602
- Phone Number
- 207-866-9025
- Fax Number
- 207-866-2207
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Organization Subpart
- No
- Authorized Official
- Leona Cerkovitz, FNP · Owner/Provider · 207-866-9025
- Provider Enumeration Date
- August 20, 2006
- Last Update Date
- June 22, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 192 Park St
Orono, ME 04473-4602 - City
- Orono
- State
- Maine
- Zip
- 04473-4602
- Phone Number
- 207-866-9025
- Fax Number
- 207-866-2207
Provider Business Mailing Address Details
- Address
- 192 Park St
Orono, ME 04473-4602 - City
- Orono
- State
- ME
- Zip
- 04473-4602
- Phone Number
- 207-866-9025
- Fax Number
- 207-866-2207
License Information
- License Number (1)
- 038985
- License State (1)
- ME
- Taxonomy (1)
- Registered Nurse, Psych/Mental Health · 163WP0808X
- License Number (2)
- 038985
- License State (2)
- ME
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Bangor Integrative Health?
The NPI number of Bangor Integrative Health is 1659486884. It was assigned on August 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Bangor Integrative Health?
Bangor Integrative Health is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number 038985.
Where does Bangor Integrative Health practice?
The practice location is 192 Park St, Orono, ME 04473-4602. The office can be reached at 207-866-9025 (phone) or 207-866-2207 (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 1659486884 directly on the NPPES registry website.