Individual
MR. ERIK CARAWAN CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-4519
Mailing address
PO BOX 404, BANGOR, ME 04402-0404
(207) 973-4519
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN 2860722
FL
367500000X
Certified Registered Nurse Anesthetist
RN R053637
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA83401
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000098605
MEDICARE P-TAN FOR BHMH
ME
01
—
00098601
FOR EMMC
ME
01
—
200051
MED B - BHMH
ME
Enumeration date
12/17/2005
Last updated
02/03/2022
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