Healthcare Provider Details

I. General information

NPI: 1255372793
Provider Name (Legal Business Name): BARBARA A DAY RNC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

442 MOOSEHEAD TRL
NEWPORT ME
04953-4004
US

IV. Provider business mailing address

29 FRANKLIN ST
BANGOR ME
04401-4909
US

V. Phone/Fax

Practice location:
  • Phone: 207-368-2072
  • Fax: 207-368-5290
Mailing address:
  • Phone: 207-942-3816
  • Fax: 207-561-4725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR040051
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: