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Individual

JUDY WEITZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN

Contact information

Practice address
242 BRUNSWICK ST, OLD TOWN, ME 04468-1613
(207) 827-1358
(207) 827-6605
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 827-6128

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15939
MT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
15939
MT

Other

Enumeration date
02/26/2007
Last updated
08/16/2013
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