Individual
KATHLEEN FORTI-GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
925 UNION ST STE 3, BANGOR, ME 04401-3051
(207) 973-9980
(207) 973-7515
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5035
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
CNP81358
ME
364SM0705X
Medical-Surgical Clinical Nurse Specialist
R028705
ME
Other
Enumeration date
07/21/2006
Last updated
04/06/2020
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