Waitt, Ann B.

Waitt, Ann B. is an individual health care provider with primary practice located at 133 Corporate Dr , Bangor ME 04401-4312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Waitt, Ann B. can be contacted via phone (207) 941-1155.

Contact Information

Primary practice address
133 Corporate Dr Bangor ME 04401-4312
Phone: (207) 941-1155
Fax: (207) 945-5063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R025924 Maine
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2297592 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP081657 Maine

Profile Details

NPI number 1932193679
LBN Legal business name Waitt, Ann B.
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated May 28th, 2020 - about 6 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932193679 NPPES
Massachusetts MEDICAID 110104405A

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