MARY E THERRIAULT (N.P.) – Obstetrics & Gynecology Nurse Practitioner, NPI 1699716928

Obstetrics & Gynecology Nurse Practitioner

MARY E THERRIAULT (N.P.) is a healthcare provider. based in Bangor, Maine. specializing in Obstetrics & Gynecology Nurse Practitioner. They hold the professional credentials N.P.. They hold a License No. CNP81724 (ME). The NPI Number for MARY E THERRIAULT (N.P.) is 1699716928

Main info

Female

29 Years Of Experience

Accepts Medicare Assignment

Name

MARY E THERRIAULT (N.P.)

NPI

1699716928

Phone

(207) 947-6508

Address

792 STATE ST

Enumeration Date

9 June 2006

Last Update Date

17 July 2013

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2079476508

Graduation Year

1997 (29 years ago)

PAC ID

3971521113

Group Practice PAC ID

9739171166

Professional Enrollment ID

I20051107000618

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARY E THERRIAULT (N.P.)

792, State Street, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044015610
Phone: (207) 947-6508
Fax: (207) 941-8342
Type: Location
67 CLARK HILL RD
EAST HOLDEN, ME 044297248
Phone:
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04401)

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Reviews

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Frequently asked questions

How is MARY E THERRIAULT (N.P.) identified in CMS data?

CMS-hosted NPPES data lists MARY E THERRIAULT (N.P.) with NPI 1699716928.

Can I rely on MARY E THERRIAULT (N.P.) being an active provider?

As of the registry snapshot, MARY E THERRIAULT (N.P.) is marked active.

What is MARY E THERRIAULT (N.P.)'s primary classification?

Obstetrics & Gynecology Nurse Practitioner is the headline specialty for MARY E THERRIAULT (N.P.) here. Clinical services aligned with this taxonomy classification.

Where should I expect MARY E THERRIAULT (N.P.) on a map?

Expect Bangor, Maine as a primary anchor for MARY E THERRIAULT (N.P.) unless the record lists multiple sites.

Why does MARY E THERRIAULT (N.P.) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.