NPI 1861755209

Samantha Helene Mitchell, FNPC

Practitioner Dermatology Physician Bangor, ME

Practice location

Address: 90 Ridgewood Dr, Bangor, ME 04401-2652
Phone: (207) 942-0669
Fax: (207) 947-3143
Mailing address: 381 Main St, Orono, ME 04473-3446

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence CNP121048 (ME)

Other Dermatology providers in Maine →

Registry record

NPI: 1861755209
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2012
Record last updated: 10 May 2017

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.