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Individual

MS. KATHRYN MARIE MORDINO

Active
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Individual

MS. KATHRYN MARIE MORDINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP-BC

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN283154
MA
363L00000X
Nurse Practitioner
Primary
CNP231559
ME
363L00000X
Nurse Practitioner
RN283154
MA
363LA2200X
Adult Health Nurse Practitioner
RN283154
MA

Other

Enumeration date
01/03/2013
Last updated
12/05/2023
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