Individual
MS. NICOLE L. MIZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
887 CONGRESS ST, SUITE 310, PORTLAND, ME 04102-3100
(207) 773-2723
(207) 773-3941
Mailing address
887 CONGRESS ST, SUITE 310, PORTLAND, ME 04102-3100
(207) 773-2723
(207) 773-3941
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP091039
ME
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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