Provider Demographics
NPI:1306719711
Name:CHRISTOPHER, NGOZI MIRIAM
Entity type:Individual
Prefix:
First Name:NGOZI
Middle Name:MIRIAM
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 FAWN CT
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-2750
Mailing Address - Country:US
Mailing Address - Phone:207-974-7596
Mailing Address - Fax:
Practice Address - Street 1:33 FAWN CT
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-2750
Practice Address - Country:US
Practice Address - Phone:207-974-7596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME68697163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse