Individual
SYDNEY L KOTREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNPC
Contact information
Practice address
6 TELCOM DR, BANGOR, ME 04401-3072
(207) 947-0147
(207) 990-3365
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP171091
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0501557
—
NJ
05
—
103097936
—
PA
05
—
6180051-00
—
MD
Enumeration date
07/20/2015
Last updated
05/04/2021
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