Nickerson, Brandi Lyon

Nickerson, Brandi Lyon is an individual health care provider with primary practice located at 1 Northeast Dr , Bangor ME 04401-4332. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Nickerson, Brandi Lyon can be contacted via phone (207) 275-3800.

Contact Information

Primary practice address
1 Northeast Dr Bangor ME 04401-4332
Phone: (207) 275-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1652 Maine

Profile Details

NPI number 1083164933
LBN Legal business name Nickerson, Brandi Lyon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2016
Last updated Feb 19th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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