Individual
MRS. ELIZABETH PALMER HERDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-6670
(207) 973-5226
Mailing address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-6670
(207) 973-5226
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RO54173
ME
Other
Enumeration date
11/17/2007
Last updated
12/13/2007
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