Individual
MARISSA NICOLE-VIVIAN DICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-7000
Mailing address
1479 PUSHAW RD, GLENBURN, ME 04401-1450
(207) 446-5926
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA233043
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
ME
Other
Enumeration date
05/27/2021
Last updated
09/05/2023
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