IndividualActive
Ivy Todd, PNPC
NPI 1073112561 · Pediatric Nurse Practitioner · Bangor, ME
Provider details
- NPI number
- 1073112561
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNPC
- Sex
- Female
- Sole proprietor
- No
- License
- CNP211246 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6 Telcom Dr
Bangor, ME 04401-3072
Phone: (207) 947-0147
Fax: (207) 990-3365
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1599
Bangor, ME 04402-1599
Registry dates
- Enumerated
- 2020-10-26
- Last updated
- 2021-07-01
- Certified
- 2021-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.