Healthcare Provider Details

I. General information

NPI: 1821918087
Provider Name (Legal Business Name): COLLEEN MARIA HOTCHKISS RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 UNION ST
BANGOR ME
04401
US

IV. Provider business mailing address

1017 UNION ST
BANGOR ME
04401
US

V. Phone/Fax

Practice location:
  • Phone: 207-659-2891
  • Fax:
Mailing address:
  • Phone: 207-659-2891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN52688
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: