Retha K. Bobb is a Nurse Practitioner in Bangor, Maine. Retha K. Bobb practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Retha K. Bobb is 1053416321. The last update date is 2010-06-29.
Retha K. Bobb's current location address is 1068 Union St, Bangor, Maine. You can contact this provider via phone number 2079470147 and fax number 2079903365. The mailing address for Retha K. Bobb is 1068 Union St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Retha K. Bobb |
|---|---|
| Address | 1068 Union St, Bangor, Maine |
| Phone Number | 2079470147 |
| Fax Number | 2079903365 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1053416321 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2010-06-29 |
Provider Mailing Address Detail
| Address | 1068 Union St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44013016 |
| Phone Number | 2079470147 |
| Fax Number | 2079903365 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R020258 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 336370099 | ME | -- |
Post Comment/ Review Below
What is the Retha K. Bobb's unique identification number?
The Retha K. Bobb has been assigned the NPI (National Provider Identifier) Number 1053416321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Retha K. Bobb is physically located?
The Retha K. Bobb is physically situated at the following address: 1068 Union St, Bangor, ME, 44013016.
What is Retha K. Bobb's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Retha K. Bobb is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did Retha K. Bobb receive its 1053416321 assignment from the Centers for Medicare & Medicaid Services?
The Retha K. Bobb was assigned its 1053416321 on 2006-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Retha K. Bobb most recently updated or revised?
The details related to Retha K. Bobb, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-29.