Individual
ELLEN M QUERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
656 STATE ST, BANGOR, ME 04401-5609
(207) 941-4036
(207) 941-4062
Mailing address
55 KENNARD RD, NEWBURGH, ME 04444-4905
(207) 941-4220
(207) 941-4093
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R034227
ME
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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