NPI 1003290313

Mary White, PA

Practitioner Physician Assistant Bangor, ME

Practice location

Address: 543 Broadway, Bangor, ME 04401-3337
Phone: (207) 922-1300
Fax: (207) 217-6742
Mailing address: 360 US Highway 1 Byp Unit 102, Portsmouth, NH 03801-7105

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA1553 (ME)

Other Physician Assistant providers in Maine →

Registry record

NPI: 1003290313
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2015
Record last updated: 8 Apr 2024

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.