Individual
MS. REGINA ANN BLAUVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
302 HUSSON AVE, SUITE 1, BANGOR, ME 04401-3374
(207) 947-6141
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 947-6141
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP141071
ME
Other
Enumeration date
07/01/2014
Last updated
12/28/2016
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