Individual
MRS. BARBARA JEAN WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPMHNP
Contact information
Practice address
34 SUMMER STREET, BANGOR, ME 04401
(207) 992-2636
(207) 992-2638
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R047514
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP081601
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291340099
—
ME
Enumeration date
09/20/2006
Last updated
10/10/2011
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