Individual
LINDA WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
133 CORPORATE DR, SUITE 4, BANGOR, ME 04401-4312
(207) 992-0099
(207) 992-9290
Mailing address
PO BOX 921, BANGOR, ME 04402-0921
(207) 942-7650
(207) 990-5586
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R014516
ME
Other
Enumeration date
08/05/2006
Last updated
01/21/2009
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