IndividualActive
Carol Niziolek, RN,MSN,CS
NPI 1619006145 · Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Portland, ME
Provider details
- NPI number
- 1619006145
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN,MSN,CS
- Sex
- Female
- Sole proprietor
- Yes
- License
- R 032287 (ME)
Practice location
121 Middle St
Suite 404
Portland, ME 04101-4156
Phone: (207) 772-8534
Fax: (207) 772-1629
Mailing address
22 Merrymeeting Dr
Portland, ME 04103-3938
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.