Individual
MS. MITZI L WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHCNS, BC
Contact information
Practice address
242 BRUNSWICK ST, OLD TOWN, ME 04468
(207) 827-6128
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP181156
ME
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
0000005943
TN
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
CNP184001
ME
Other
Enumeration date
07/25/2006
Last updated
08/13/2018
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