Individual
KATHRYN WARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-8880
(207) 621-1881
Mailing address
PO BOX 569, RANGELEY, ME 04970-0569
(207) 864-2699
(207) 864-2969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP171079
ME
Other
Enumeration date
07/13/2017
Last updated
05/01/2019
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