Individual
THERESA A HAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 BROADWAY, BANGOR, ME 04401-1900
(207) 907-3300
(207) 907-1923
Mailing address
30 RICHARDS RD, GLENBURN, ME 04401-1239
(207) 947-4836
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81202
ME
Other
Enumeration date
07/17/2006
Last updated
04/16/2021
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