Individual
BRANDI LYON NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 NORTHEAST DR, BANGOR, ME 04401-4332
(207) 275-3800
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1652
ME
Other
Enumeration date
10/04/2016
Last updated
02/19/2026
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