Individual
CHRISTINA ROSE THERIAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
197 E MAIN ST, FORT KENT, ME 04743-1409
(207) 834-1560
(207) 834-1561
Mailing address
PO BOX 587, AUGUSTA, ME 04332-0587
(207) 509-3271
(207) 660-4203
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1538245097
ME
Other
Enumeration date
10/27/2006
Last updated
02/05/2026
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