Individual
MS. KATHLEEN M BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
417 STATE ST, SUITE 421, BANGOR, ME 04401-6630
(207) 973-5293
(207) 973-5263
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP91030
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274250099
—
ME
Enumeration date
05/17/2007
Last updated
11/18/2016
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