Individual
MIRANDA WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
68 MOUNT HOPE AVE, BANGOR, ME 04401-4096
(207) 770-5457
Mailing address
68 MOUNT HOPE AVE, BANGOR, ME 04401-4096
(207) 770-5457
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN65159
ME
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/22/2006
Last updated
12/21/2023
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