Individual
PAMELA L. KRATZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
84 MARGINAL WAY, SUITE 700, PORTLAND, ME 04101
(207) 774-5816
(207) 523-8597
Mailing address
100 FODEN RD. WEST, SUITE 203, SOUTH PORTLAND, ME 04106-2327
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP081018
ME
363LA2200X
Adult Health Nurse Practitioner
R034508
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432799999
—
ME
Enumeration date
05/31/2006
Last updated
08/07/2013
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