MICHELLE A GARDNER (NPI# 1366488892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366488892 |
Entity Type | Individual |
Full Name | MICHELLE A GARDNER |
Other Name | MICHELLE A. HARRIS |
Credential | FNP-BC |
Practice Address |
489 State St Bangor ME 04401-6616 |
Mailing Address |
43 Whiting Hill Rd Suite 300 Brewer ME 04412-1005 |
Practice Telephone | 2079737000 |
Practice Fax Number | 2079737394 |
Mailing Telephone | 2079735035 |
Mailing Fax Number | 2079735042 |
Enumeration Date | 2006-06-22 |
Last Update Date | 2020-04-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP081584 | ME | Physician Assistants & Advanced Practice Nursing Providers |
N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
R032905 | ME | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | TAX ID | 010507276 | 01 |
ME | 247850099 | 05 | |
ME | ANTHEM | 100544 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265851703 | Michelle Diann Gardner | Specialist/Technologist | 615 S State St, Grangeville, ID 83530-2035 | 2014-04-14 |
1891073102 | Michelle A Gardner | Student in an Organized Health Care Education/Training Program | 3800 S 48th St, Lincoln, NE 68506-4345 | 2011-08-03 |
1316109945 | Michelle N Gardner | Occupational Therapist | 4255 Medwell Dr., Newburgh, IN 47630 | 2008-06-25 |
1639383599 | Michelle Ann Gardner | Optometrist | 808 Wacker Dr, Dubuque, IA 52002 | 2007-05-10 |
1447603808 | Michelle E Gardner | Nurse Practitioner | 3730 S Pinnacle Hills Pkwy Ste 2, Rogers, AR 72758 | 2016-07-20 |
1548614928 | Michelle Gardner | Nurse Practitioner | 400 Water Ave, Hillsboro, WI 54634-9054 | 2016-04-21 |
1831514702 | Michelle Gardner | Physical Therapist | 4801 Springfield St, Dayton, OH 45431-1084 | 2014-02-28 |
1831450469 | Michelle T Gardner | Pediatrics | 1001 Sam Perry Blvd, Fredericksburg, VA 22401 | 2012-05-30 |
1437231354 | Michelle Huffman Gardner | Family Medicine | 315 E Elm St, Ste 100, Caldwell, ID 83605-4857 | 2006-10-19 |
1548299118 | Michelle W Gardner | Psychiatry & Neurology | 656 State St, Bangor, ME 04401-5609 | 2006-07-03 |
Street Address |
489 STATE ST |
City | BANGOR |
State | ME |
Zip Code | 04401-6616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790789147 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-06-13 |
1356956239 | Amanda Roberts | Physician Assistant | 489 State St, Bangor, ME 04401-6674 | 2020-09-09 |
1558983148 | Lana Caroline Hoertz | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2020-05-18 |
1427696954 | Kelsey A Mcgrath | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2019-12-16 |
1528629888 | Jaclyn Young | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2019-06-26 |
1568928018 | Emily Bohm | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-20 |
1144786971 | Andrew Hopkins | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-18 |
1750847083 | Daniel Patrick Conway | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-12 |
1306317847 | Matthew Daniel Kent | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2018-12-10 |
1750869061 | Brian Marsh | Nurse Practitioner | 489 State St, Bangor, ME 04401 | 2018-07-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
Find all providers in zip 04401 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073139465 | Jaclyn Kimberly Foraker | Nurse Practitioner | 885 Union St Ste 215, Bangor, ME 04401-3092 | 2020-06-22 |
1790326585 | Remigiusz Mariusz Paluszak | Nurse Practitioner | 417 State St #400, Bangor, Me 04401, Bangor, MA 04401-0440 | 2019-10-02 |
1629594882 | Auteum Lake | Nurse Practitioner | 277 State St Ste 1b, Bangor, ME 04401-5440 | 2017-08-19 |
1659730323 | Cherie Christopherson | Nurse Practitioner | 417 State St Ste 200, Bangor, ME 04401-6630 | 2016-02-23 |
1194060236 | Lori M. Lipari | Nurse Practitioner | 50521 34th Ave, Bangor, MI 49013-9726 | 2012-11-30 |
1306107446 | Theresa Marie Knowles | Nurse Practitioner | 103 Maine Ave, Bangor, ME 04401-4330 | 2012-06-05 |
1164594057 | Amy Cotton | Nurse Practitioner | 885 Union Street, Suite 221, Bangor, ME 04402-0404 | 2006-11-15 |
1003901729 | Nancy J Fishwick | Nurse Practitioner | 30 Mckinley St, Bangor, ME 04401-3830 | 2006-10-04 |
1528098316 | Constance M Springer-tracy | Nurse Practitioner | 656 State Street, Bangor, ME 04401-5609 | 2006-07-04 |
1699715417 | Claire J Mooney | Nurse Practitioner | 915 Union St, Bangor, ME 04401-8602 | 2006-06-08 |
Find all providers in BANGOR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.