Active NPIIndividual provider

Kaitlin Bolduc, CRNA

Nurse Anesthetist, Certified Registered in Portland, Maine

NPI Number1336508167
Practice location
22 Bramhall St, Portland, ME 04102-3134
Fax
207-662-6236
Last updated
December 16, 2022

Kaitlin Bolduc is a Nurse Anesthetist, Certified Registered based in Portland, ME. Kaitlin Bolduc practices in Portland, ME and has the professional credentials of CRNA. The NPI Number for Kaitlin Bolduc is 1336508167 and holds a License No. RNA163031 (ME). The current practice location address for Kaitlin Bolduc is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 207-662-2526 and via fax at 207-662-6236.

Provider Profile Details

NPI Number
1336508167
Provider Name
Kaitlin Bolduc
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
22 Bramhall St, Portland, ME 04102-3134
Phone Number
207-662-2526
Fax Number
207-662-6236
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
February 22, 2016
Last Update Date
December 16, 2022
Certification Date
December 13, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Bramhall St
Portland, ME 04102-3134
State
Maine
Zip
04102-3134
Phone Number
207-662-2526
Fax Number
207-662-6236
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
190 Riverside St Unit 6B
Portland, ME 04103-1073
City
Portland
State
ME
Zip
04103-1073

License Information

License Number
RNA163031
License State
ME
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kaitlin Bolduc, CRNA?

The NPI number of Kaitlin Bolduc, CRNA is 1336508167. It was assigned on February 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Kaitlin Bolduc, CRNA?

Kaitlin Bolduc, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in ME under license number RNA163031.

Where does Kaitlin Bolduc, CRNA practice?

The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 207-662-2526 (phone) or 207-662-6236 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336508167 directly on the NPPES registry website.

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