Whalio Doctors

NPI 1013070606

Constance E Russell, FNPC

Practitioner Family Nurse Practitioner Bangor, ME

Practice location

Address
268 Stillwater Avenue Acadia Hospital Corp, Bangor, ME 04401
Phone
(207) 973-6100
Fax
(207) 973-6109
Mailing address
PO Box 422 Acadia Hospital Corp, Bangor, ME 04402-0422

Registered specialties

Family Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence R023037 (ME)

Registry record

NPI
1013070606
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Dec 2006
Record last updated
8 Jul 2007

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.