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Individual
KATHLEEN TRUSLOW
Active
Individual
KATHLEEN TRUSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RO40324
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RO40324
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079207
ANTHEM BLUE BEHAVIORAL HE
ME
01
—
100057
ANTHEM BLUE CROSS
ME
05
—
253580000
—
ME
Enumeration date
08/08/2006
Last updated
07/21/2022
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