Individual
MRS. SAMANTHA HELENE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
90 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 942-0669
(207) 947-3143
Mailing address
381 MAIN ST, ORONO, ME 04473-3446
(207) 942-0689
(207) 947-3143
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
CNP121048
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952536880
NPI
ME
Enumeration date
06/20/2012
Last updated
05/10/2017
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