NOELLE CHRISTINE BRALEY


Address: 6 Telcom Dr, Bangor, ME 04401-3072
Phone: 2079470147

NOELLE CHRISTINE BRALEY (NPI# 1154972461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154972461
Entity Type Individual
Full Name NOELLE CHRISTINE BRALEY
Practice Address 6 Telcom Dr
Bangor
ME 04401-3072
Mailing Address Po Box 1599
Bangor
ME 04402-1599
Practice Telephone 2079470147
Mailing Telephone 2074048200
Enumeration Date 2019-09-27
Last Update Date 2019-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner CNP191226 ME Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1068 Union St, Bangor, ME 044013016 2079470147

Office Location

Street Address 6 TELCOM DR
City BANGOR
State ME
Zip Code 04401-3072

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396708459 Donna M. Cotton Nurse Practitioner 6 Telcom Dr, Bangor, ME 04401-3072 2006-04-10
1871106047 Carla Marie White Audiologist 6 Telcom Dr, Bangor, ME 04401-3072 2020-08-28
1982242426 Michelle Lee Graves Nurse Practitioner 6 Telcom Dr, Bangor, ME 04401-3072 2019-12-16
1164913117 Kathryn Anne Foley Nurse Practitioner 6 Telcom Dr, Bangor, ME 04401-3072 2018-05-25
1922483973 Sydney Kotredes Nurse Practitioner 6 Telcom Dr, Bangor, ME 04401-3072 2015-07-20
1124408059 Morgan Frances Benter Physician Assistant 6 Telcom Dr, Bangor, ME 04401-3072 2015-06-05
1245650605 Aimee Jordan Beaton Pediatrics 6 Telcom Dr, Bangor, ME 04401-3072 2014-04-23
1801235023 Penobscot Community Health Center Clinic/Center 6 Telcom Dr, Bangor, ME 04401-3072 2013-06-20
1194062901 Karen L. Gardner Counselor 6 Telcom Dr, Bangor, ME 04401-3072 2013-01-14
1386929230 Benjamin Chad Smith Nurse Practitioner 6 Telcom Dr, Bangor, ME 04401-3072 2011-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222523 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 110 Longview Dr, Bangor, ME 04401 2020-10-16
1033737937 Daniel John Phulman Counselor 202 Exchange Street, Bangor, ME 04401 2020-07-08
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1053961300 Erika Dean Occupational Therapist 84 Sylvan Rd., Bangor, ME 04401 2019-09-18
1942853635 Wildworks Therapy, Pllc Occupational Therapist 123 Mt Hope Ave, Bangor, ME 04401 2019-07-22
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1699232041 Ehab Khamis Elhefnawi Anesthesiology Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 2019-02-21
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1255826541 Lindsey M Fields Optometrist 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 2018-06-28
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619590247 Meghan Chenausky Nurse Practitioner Pchcenter, 1012 Union Street, Bangor, ME 04401-3060 2020-05-18
1649603093 Kendra Lynn Look Nurse Practitioner 302 Husson Ave Ste 1, Bangor, ME 04401-3373 2013-08-20
1285988253 Sabita Sigdel Nurse Practitioner 895 Union Street - Suite 12, Center for Family Medicine, Bangor, ME 04401 2012-10-30
1467515056 Lisa Madge Grindle Nurse Practitioner 175 Union St., Suite C, Bangor, ME 04401 2006-12-18
1871698142 Beryl Rubin Nurse Practitioner 1048 Union St., Ste 5, Bangor, ME 04401-0000 2006-09-13
1376569962 Maureen M Jarrett Nurse Practitioner 36 Penn Plaza, Bangor, ME 04401-3620 2006-07-15
1235180209 Chrystal A Adams Nurse Practitioner 34 Summer Street, Bangor, ME 04401 2006-05-15
1538129804 Sandra Jean Wardwell Nurse Practitioner 12 Stillwater Ave, Bangor, ME 04401-3984 2006-03-23
1861451478 Joye M Jewell-hill Nurse Practitioner 268 Stillwater Ave, Bangor, ME 04401 2006-03-22
1194721548 Lisa Carroll Nurse Practitioner 992 Union St, Bangor, ME 04401-3057 2005-06-21
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Competitor

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City BANGOR
Zip Code 04401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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