Individual
HEATHER MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
360 BROADWAY, BANGOR, ME 04401-3979
(207) 907-1430
(207) 907-3508
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8560
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA83442
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052415
—
NC
Enumeration date
11/16/2006
Last updated
02/03/2022
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