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Individual

THITNU WAI DIRKSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
404 STATE ST STE 310, BANGOR, ME 04401-6623
(207) 275-4440
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP151206
ME

Other

Enumeration date
03/22/2016
Last updated
10/18/2017
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