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MS. CAROLYN NIGHTINGALE RIKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CPNP-AC/PC

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2934
Mailing address
79 NONANTUM ST, BOSTON, MA 02135-2452
(207) 469-5585

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
CNP241619
ME
363LP0200X
Pediatric Nurse Practitioner
RN2286242
MA

Other

Enumeration date
12/12/2019
Last updated
01/23/2025
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