Individual
KRISTINA LYNN LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
417 STATE ST, BANGOR, ME 04401-6630
(207) 973-5293
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5000
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP201188
ME
Other
Enumeration date
07/29/2020
Last updated
09/03/2020
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