IndividualActive
Nicole Mizner, C.P.N.P.
NPI 1003049768 · Pediatric Nurse Practitioner · Portland, ME
Provider details
- NPI number
- 1003049768
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- C.P.N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- AP091039 (ME)
Practice location
887 Congress St
Suite 310
Portland, ME 04102-3100
Phone: (207) 773-2723
Fax: (207) 773-3941
Mailing address
887 Congress St
Portland, ME 04102-3100
Registry dates
- Enumerated
- 2009-08-28
- Last updated
- 2009-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.