Individual
SANDRA JEAN WARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
12 STILLWATER AVE, BANGOR, ME 04401-3984
(207) 945-6588
(207) 945-2955
Mailing address
12 STILLWATER AVE, BANGOR, ME 04401-3984
(207) 945-6588
(207) 945-2955
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP081892
ME
363LW0102X
Women's Health Nurse Practitioner
AP081892
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432937499
—
ME
Enumeration date
03/23/2006
Last updated
07/29/2014
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