Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly Haeberlein

Individual provider Dermatology Physician · NPI 1932537800

Holly Haeberlein is a Nurse Practitioner in Bangor, Maine. Qualified in 2013, 13 years ago. Practices with Penobscot Valley Dermatology PA, an 8-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
13
Licensed in
ME
In the registry since
2013

Practice location Address checks out

90 Ridgewood Dr
Bangor, ME 04401-2652
Phone: (207) 942-0669
Fax: (207) 947-3143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence CNP131096 (ME)

Record details

NPI number1932537800
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2013
Last updated in NPPESOctober 31, 2013
Mailing address23 Brentwood Ave, Bangor, ME 04401-4201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Penobscot Valley Dermatology Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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