Individual
CARLEEN KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
331 VERANDA ST, PORTLAND, ME 04103-5545
(207) 828-2402
(207) 828-2425
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP91076
ME
Other
Enumeration date
12/14/2011
Last updated
10/01/2020
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