Individual
KATHERINE J. LETOURNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
100 BRICKHILL AVE STE 304, SOUTH PORTLAND, ME 04106-1999
(207) 761-4700
Mailing address
100 BRICKHILL AVE STE 304, SOUTH PORTLAND, ME 04106-1999
(207) 761-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN63158
ME
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP141090
ME
Other
Enumeration date
09/09/2014
Last updated
08/16/2021
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