Individual provider · NPI-1

Kathleen Dolan Emerson Emerdello, CNM, WHNP, RN

Advanced Practice Midwife · Portland, ME

NPI number1063955011
StatusActive
Last updated in NPPESMay 12, 2022

Details

NPI
1063955011
Entity type
Individual (NPI-1)
Name
Kathleen Dolan Emerson Emerdello
Credential
CNM, WHNP, RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 23, 2016
Certification date
Apr 18, 2022
Last updated
May 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice MidwifeCNM212013MEYes
163W00000X Registered Nurse95048259CA
163W00000X Registered NurseRN80303ME
363LW0102X Nurse Practitioner, Women's Health95005404CA
367A00000X Advanced Practice Midwife235826CA

Other names

  • Kathleen Dolan Emerson (Other Name)

Practice location

22 Bramhall St
Portland, ME 04102-3134

Phone 207-662-0111 · Fax 510-300-8039

Mailing address

22 Bramhall St
Portland, ME 04102-3134

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