Individual
KRISTEN ANN RODGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
335 FULLER RD, HERMON, ME 04401-0400
(207) 735-4692
Mailing address
335 FULLER RD, HERMON, ME 04401-0400
(207) 735-4692
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN73922
ME
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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