Individual
KIRA WATSON PUSHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R046523
ME
363L00000X
Nurse Practitioner
Primary
CNP221235
ME
Other
Enumeration date
10/21/2009
Last updated
05/28/2026
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