Individual
MRS. NANCY J GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
42 CEDAR STREET, BANGOR, ME 04402-0425
(207) 947-0366
Mailing address
47 KENNEBEC RD, HAMPDEN, ME 04444-1315
(207) 862-2136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
026543
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00039153
RAILROAD MEDICARE
ME
Enumeration date
02/22/2007
Last updated
07/09/2007
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