Provider Demographics
NPI:1396361440
Name:LIVINGSTON, HANNAH MAE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:MAE
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:MAE
Other - Last Name:BARD-STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:43 WHITING HILL RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1006
Mailing Address - Country:US
Mailing Address - Phone:207-973-5000
Mailing Address - Fax:207-973-5042
Practice Address - Street 1:302 HUSSON AVE STE 1
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3373
Practice Address - Country:US
Practice Address - Phone:207-947-6141
Practice Address - Fax:207-275-4879
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP201250363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily