Individual
THERESA ROELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
(207) 828-1122
Mailing address
100 FODEN RD STE 6B, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
(207) 828-0188
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP161163
ME
Other
Enumeration date
01/20/2017
Last updated
03/24/2026
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