Individual
JILL B AHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
489 STATE ST, C/O EMMC, BANGOR, ME 04401-6616
(207) 973-4519
(207) 992-4132
Mailing address
141N MAIN ST 205, BREWER, ME 04412-2055
(207) 992-4032
(207) 992-4034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
026525
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200051
MED B - BHMH
ME
01
—
MM5416
MED B - COASTAL EYE CARE
ME
01
—
MM863301
MED B - PERS FOR 200051
ME
Enumeration date
09/21/2006
Last updated
07/29/2015
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