Individual
FANG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-6676
(207) 973-4441
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5000
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP241129
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/03/2023
Last updated
01/14/2026
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