| Michelle D Henneberry, PMHNP | |
| 
					263 State St, Suite 23, Bangor, ME 04401-5435  | |
| (207) 945-3615 | |
| (207) 945-3444 | 
| Full Name | Michelle D Henneberry | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 263 State St, Bangor, Maine | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215988852 | NPI | - | NPPES | 
| 255830000 | Medicaid | ME | |
| 048586 | Other | ME | ANTHEM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R037051 (Maine) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michelle D Henneberry, PMHNP 263 State St, Suite 23, Bangor, ME 04401-5435 Ph: (207) 945-3615  | Michelle D Henneberry, PMHNP 263 State St, Suite 23, Bangor, ME 04401-5435 Ph: (207) 945-3615  | 
Hailey E Blackwood, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Broadway, Bangor, ME 04401 Phone: 207-907-3300  | |
Diane M Hill, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Northeast Dr, Bangor, ME 04401 Phone: 207-275-3800 Fax: 207-275-3803  | |
Nancy J Fishwick, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Mckinley St, Bangor, ME 04401 Phone: 207-659-3690  | |
Kathrin G Hastey, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Telcom Dr, Bangor, ME 04401 Phone: 207-947-0147 Fax: 207-990-3365  | |
Ms. Constance E Russell, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401 Phone: 207-973-6100 Fax: 207-973-6109  | |
Maegan L Woodman, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Telcom Dr Fl 2, Bangor, ME 04401 Phone: 207-947-0147 Fax: 207-990-3365  | |
Mrs. Alexandria Elizabeth Redmond,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Husson Ave, #2, Bangor, ME 04401 Phone: 207-941-2373 Fax: 207-941-8803  |