Individual
MELINDA M MORISSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1012 UNION ST, BANGOR, ME 04401
(207) 945-5247
(207) 990-1248
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP81154
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R027805
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259150099
—
ME
Enumeration date
09/13/2006
Last updated
06/06/2012
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