Individual
JOYCE E NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1365 BROADWAY, BANGOR, ME 04401-2401
(207) 942-6226
(207) 992-2756
Mailing address
1365 BROADWAY, BANGOR, ME 04401-2401
(207) 942-6226
(207) 992-2756
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP081967
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP081967
STATE LICENSE
ME
Enumeration date
11/05/2008
Last updated
03/12/2021
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