Individual provider · NPI-1
Katharine E Addicott, FNP
Nurse Practitioner, Family · Portland, ME
NPI number1013032036
StatusActive
Last updated in NPPESSep 7, 2011
Details
- NPI
- 1013032036
- Entity type
- Individual (NPI-1)
- Name
- Katharine E Addicott
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2007
- Last updated
- Sep 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP081735 | ME | Yes |
Other names
- Katherine Addicott (Other Name)
Practice location
22 Bramhall StPortland, ME 04102-3134
Phone 207-662-2911 · Fax 207-662-6006
Mailing address
22 Bramhall StPortland, ME 04102-3134
Phone 207-662-2911 · Fax 207-662-6006
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