Individual
COLLEEN GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 564-4110
(207) 564-4478
Mailing address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 564-4110
(207) 564-4478
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN67499
ME
163WC0400X
Case Management Registered Nurse
RN67499
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP211200
ME
Other
Enumeration date
05/29/2019
Last updated
03/10/2026
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