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Individual

CAROLE RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC MSN RN-BSN

Contact information

Practice address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
Mailing address
436 11TH AVE, MADAWASKA, ME 04756-3010
(207) 436-9548

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP221113
ME

Other

Enumeration date
05/06/2022
Last updated
05/06/2022
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