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Individual

MS. CHRISTINE I WATLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP - NNP

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2273
(207) 662-6324
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2273
(207) 662-6324

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
ARNP1652532
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
CNP151178
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3020274-00
FL
05
678524187A
GA
Enumeration date
05/11/2006
Last updated
01/20/2025
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