Individual
KIRA WATSON PUSHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 872-1293
Mailing address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 872-1293
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
05/06/2022
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