Lisa Madge Grindle in Bangor - Psychiatric/mental Health

Lisa Madge Grindle - NPI 1467515056

Lisa Madge Grindle is a Psychiatric/mental Health in Bangor, Maine. Lisa Madge Grindle practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Lisa Madge Grindle is 1467515056. The last update date is 2012-05-30.

Lisa Madge Grindle's current location address is 175 Union St., Bangor, Maine. You can contact this provider via phone number 2079443356 and fax number 2074331038. The mailing address for Lisa Madge Grindle is 175 Union St., Bangor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Madge Grindle
Address 175 Union St., Bangor, Maine
Phone Number 2079443356
Fax Number 2074331038
Sole Proprietor Y
Credentials PMH-NP

NPI Number Detail

NPI Number 1467515056
Provider Enumeration Date 2006-12-18
Last Updated Date 2012-05-30

Provider Mailing Address Detail

Address 175 Union St.
City Bangor
State Maine (ME)
Post Code 4401
Phone Number 2079443356
Fax Number 2074331038

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No R036574
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

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FAQs about Lisa Madge Grindle

What is the unique identifier code issued to Lisa Madge Grindle by the Centers for Medicare & Medicaid Services?

The Lisa Madge Grindle has been assigned the NPI (National Provider Identifier) 1467515056. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Lisa Madge Grindle?

The Lisa Madge Grindle is situated at 175 Union St., in the city of Bangor, state of ME, with the zip code 4401.

What is the area of specialization for Lisa Madge Grindle, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lisa Madge Grindle is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0808X.

When was the Lisa Madge Grindle's 1467515056 issued?

The Lisa Madge Grindle's 1467515056 was issued on 2006-12-18.

When was the information regarding Lisa Madge Grindle most recently updated?

The details pertaining to the Lisa Madge Grindle, including its address, specialty, and other relevant information, were last refreshed on 2012-05-30.

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