Individual
KERIANNE MARY FLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2526
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2323200
MA
367500000X
Certified Registered Nurse Anesthetist
RN2323200
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA223057
ME
Other
Enumeration date
10/22/2018
Last updated
02/06/2024
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