Individual
ANN M JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
1 NORTHEAST DR, BANGOR, ME 04401-4332
(207) 275-3800
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP81196
ME
363L00000X
Nurse Practitioner
R024029
ME
Other
Enumeration date
09/16/2006
Last updated
03/03/2021
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