Individual
MS. KATHLEEN ANNE HEYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, GNP
Contact information
Practice address
242 BRUNSWICK ST, OLD TOWN, ME 04468-1613
(207) 827-6128
(207) 827-6605
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP081881
ME
363LF0000X
Family Nurse Practitioner
AP081881
ME
363LG0600X
Gerontology Nurse Practitioner
AP081881
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432831299
—
ME
Enumeration date
07/25/2007
Last updated
04/02/2012
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