Individual
MARILYN L MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 BROADWAY, BANGOR, ME 04401-1900
(207) 907-3300
(207) 907-1923
Mailing address
900 BROADWAY, BANGOR, ME 04401-1900
(207) 907-3300
(207) 907-1923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81403
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25700099
—
ME
Enumeration date
01/23/2006
Last updated
05/28/2014
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