Individual
KATELYN MARIE PIO LOVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 GOODALL DRIVE, EAST WATERBORO, ME 04030
(207) 490-7760
(207) 247-8460
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7000
(207) 282-9128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP141027
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922383330
—
ME
Enumeration date
10/17/2011
Last updated
05/15/2018
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