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Individual

STEPHANIE PANELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
302 HUSSON AVE STE 2, BANGOR, ME 04401-3373
(207) 941-2373
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2306805
MA
163W00000X
Registered Nurse
RN69110
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP171173
ME

Other

Enumeration date
02/02/2017
Last updated
03/27/2019
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