Individual
ANN B. WAITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
133 CORPORATE DR, BANGOR, ME 04401-4312
(207) 941-1155
(207) 945-5063
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP081657
ME
363LP0200X
Pediatric Nurse Practitioner
R025924
ME
363LP0200X
Pediatric Nurse Practitioner
RN2297592
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110104405A
—
MA
Enumeration date
09/08/2005
Last updated
05/28/2020
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