Individual
MS. KATHRYN MARIE MORDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
21 E SUMMER ST, BANGOR, ME 04401-5513
(617) 435-7601
Mailing address
21 E SUMMER ST, BANGOR, ME 04401-5513
(617) 435-7601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN283154
MA
363L00000X
Nurse Practitioner
Primary
CNP231559
ME
363L00000X
Nurse Practitioner
RN283154
MA
363LA2200X
Adult Health Nurse Practitioner
RN283154
MA
Other
Enumeration date
01/03/2013
Last updated
12/05/2023
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