Individual
RETHA K. BOBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1068 UNION ST, BANGOR, ME 04401-3016
(207) 947-0147
(207) 990-3365
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP081666
ME
363L00000X
Nurse Practitioner
R020258
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336370099
—
ME
Enumeration date
09/13/2006
Last updated
06/29/2010
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