Organization
MABEL WADSWORTH WOMEN'S HEALTH CENTER
Active
Other names
Mabel Wadsworth Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATE WANING (DIRECTOR OF FINANCE & OPERATIONS)
(207) 947-5337
Entity
Organization
Contact information
Practice address
700 MT HOPE AVE, SUITE 420, BANGOR, ME 04401
(207) 947-5337
(207) 947-9163
Mailing address
700 MT HOPE AVE, SUITE 420, BANGOR, ME 04401
(207) 947-5337
(207) 947-9163
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165020000
—
ME
Enumeration date
11/04/2005
Last updated
12/05/2018
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