Individual
KRISTY MITSUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
159 SILVER ST, WATERVILLE, ME 04901-5813
(207) 873-5437
(207) 861-5448
Mailing address
159 SILVER ST, WATERVILLE, ME 04901-5813
(207) 873-5437
(207) 861-5448
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP151155
ME
Other
Enumeration date
10/21/2015
Last updated
10/05/2016
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