Individual
SUSAN M WILLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
992 UNION ST, BANGOR, ME 04401-3057
(207) 945-5247
(207) 404-8351
Mailing address
PO BOX 1358, BANGOR, ME 04402-1358
(207) 992-9200
(207) 907-7079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R030776
ME
Other
Enumeration date
09/05/2006
Last updated
02/04/2013
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