Individual
JOYCE PETROSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
175 UNION ST, SUITE C, BANGOR, ME 04401-6100
(207) 570-5585
(207) 433-1070
Mailing address
175 UNION STREET, SUITE C, BANGOR, ME 04401
(207) 570-5585
(207) 433-1070
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP081808
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245690099
—
ME
Enumeration date
09/16/2006
Last updated
02/14/2013
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