Most Relevant Information
Provider Data
| NPI Number: | 1003586025 |
| Provider Name: | HAILEY E GEOGHEGAN FNPC |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | CNP211487 |
Most Important Dates
| Enumeration Date: | 09/20/2021 |
| Last Updated: | 06/13/2023 |
Provider Practice Location
735 WILSON ST
BREWER
ME
044121000
Practice Location Phone/Fax
| Phone: | 2079891567 |
| Fax: | 2079892286 |
Provider Mailing Location
PO BOX 1599
BANGOR
ME
044021599
Provider Mailing Phone/Fax
| Phone: | 2074048200 |
| Fax: |