Kristin M Mathieson, F.N.P.
Nurse Practitioner, Family in Portland, ME. Individual provider (NPI-1).
NPI number1760680755
StatusActive
Last updated in NPPESJul 11, 2007
Details
- NPI
- 1760680755
- Entity type
- Individual (NPI-1)
- Name
- Kristin M Mathieson
- Credential
- F.N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2007
- Last updated
- Jul 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R045725 | ME | Yes |
Practice location
50 Sewall StPortland, ME 04102-2624
Phone 207-775-3526 · Fax 207-775-5658
Mailing address
50 Sewall StPortland, ME 04102-2624
Phone 207-775-3526 · Fax 207-775-5658
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