Individual
MS. CAROL ANN NIZIOLEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN,CS
Contact information
Practice address
121 MIDDLE ST, SUITE 404, PORTLAND, ME 04101-4156
(207) 772-8534
(207) 772-1629
Mailing address
22 MERRYMEETING DR, PORTLAND, ME 04103-3938
(207) 797-7479
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R 032287
ME
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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