Individual
KATHRIN G HASTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
6 TELCOM DR, BANGOR, ME 04401-3072
(207) 947-0147
(207) 990-3365
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81364
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307940099
—
ME
Enumeration date
03/02/2007
Last updated
09/14/2022
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