Individual
KATHERINE J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
28 PORTLAND ST, PORTLAND, ME 04101-2912
(207) 874-2141
(207) 874-2164
Mailing address
180 PARK AVE STE 1, PORTLAND, ME 04102-2927
(207) 874-2141
(207) 874-2164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN52061
ME
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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