IndividualActive
Jarrod Widor, PMHRN-BC
NPI 1316245756 · Psychiatric/Mental Health Registered Nurse · Augusta, ME
Provider details
- NPI number
- 1316245756
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- PMHRN-BC
- Sex
- Male
- Sole proprietor
- No
- License
- RN76959 (ME)
Specialties & taxonomies
Nursing Service Providers
Practice location
66 Stone St
Augusta, ME 04330-5227
Phone: (207) 626-3455
Approximate (ZIP-level) locationGet directions
Mailing address
66 Stone St
Augusta, ME 04330-5227
Registry dates
- Enumerated
- 2011-03-09
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.