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Individual

KARL NESSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
360 BROADWAY, BANGOR, ME 04401-3979
(207) 907-1000
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8560
(207) 777-8800

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001418
CA
367500000X
Certified Registered Nurse Anesthetist
RNA203025
ME

Other

Enumeration date
08/16/2010
Last updated
01/17/2025
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