Search › Maine › 183500000X
Chrysalis Wild
NPI 1407231558 · on the registry since 2015
Practice
- Address
- 60 Longview Dr
Bangor, ME 04401 - Phone
- (207) 945-9977
- Organisation at this address
- Cvs State Capital Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine