Individual
KRISTIN LEIGH TETZ GRACZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 AUBURN ST, PORTLAND, ME 04103-2103
(866) 389-2727
(401) 216-3854
Mailing address
2 DUNROVEN DR, KENNEBUNK, ME 04043-6739
(813) 362-5964
(401) 216-3854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP171084
ME
Other
Enumeration date
04/25/2012
Last updated
01/14/2020
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