NPI 1003049768

Nicole L. Mizner, CPNP

Practitioner Pediatric Nurse Practitioner Portland, ME

Practice location

Address: 887 Congress St Suite 310, Portland, ME 04102-3100
Phone: (207) 773-2723
Fax: (207) 773-3941

Registered specialties

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence AP091039 (ME)

Other Nurse Practitioner providers in Maine →

Registry record

NPI: 1003049768
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2009
Record last updated: 28 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.