Individual
CAROL A KNICKERBOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
262 HARLOW ST, BANGOR, ME 04401-4952
(207) 973-3656
(207) 941-2978
Mailing address
262 HARLOW ST, BANGOR, ME 04401-4952
(207) 973-3656
(207) 941-2978
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R017530
ME
Other
Enumeration date
07/06/2006
Last updated
03/07/2023
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