| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1740510759 | CLARK-ALBERT | GEORGIA | | | PO BOX 934 | BANGOR | ME | 044020934 |
| 1174948608 | CORBEIL | COURTNEY | ROCHELLE | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1538185293 | GRATWICK | GEOFFREY | M | | 900 BROADWAY | BANGOR | ME | 044011900 |
| 1891895272 | HENDERSON | MARK | | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1942593140 | HOVENCAMP | JULIE | | | PO BOX 934 | BANGOR | ME | 044020934 |
| 1750652822 | KHADKA | POONAM | | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1376569483 | KRAUSE | DONALD | W | | 900 BROADWAY | BANGOR | ME | 044011900 |
| 1265543847 | MCDOUGALL | LINDA | L | | 900 BROADWAY | BANGOR | ME | 044011900 |
| 1184777062 | MENDOZA SALAZAR | ANA | X | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1780735571 | NARDELLA | FRANCIS | A. | | 9000 N MAIN ST | ENGLEWOOD | OH | 454151165 |
| 1578800397 | PORTER | KAILEIGH | M | | 905 UNION ST STE 11 | BANGOR | ME | 044013039 |
| 1518114222 | SPARLIN | SHERYL | | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1336614346 | WHITNEY | KARI | | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |