institution
Kristen Mickkelsen Pmhnp Bc Llc
Psychiatric/Mental Health Nurse Practitioner in Portland, Maine
NPI 1528502002

Kristen Mickkelsen Pmhnp Bc Llc is a Psychiatric/Mental Health Nurse Practitioner based in Falmouth, ME and is specialized in Psychiatric/Mental Health. Kristen Mickkelsen Pmhnp Bc Llc practices in Portland, ME. The NPI Number for Kristen Mickkelsen Pmhnp Bc Llc is 1528502002 and holds a License No. CNP121069 (Maine).

The current practice location address for Kristen Mickkelsen Pmhnp Bc Llc is 1321 Washington Ave, Portland, ME and can be reached out via phone at 207-536-3088 and via fax at 207-536-3092.

Location: 1321 Washington Ave, Portland, ME, 04105-2490
institution
Provider Profile Details
NPI Number
1528502002
Provider Name
Kristen Mickkelsen Pmhnp Bc Llc
Credential
Provider Entity Type
Organization
Address
1321 Washington Ave, Portland, ME, 04105-2490
Phone Number
207-536-3088
Fax Number
207-536-3092
Provider Enumeration Date
12/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1321 Washington Ave
City
State
Zip
04103-3636
Phone Number
207-536-3088
Fax Number
207-536-3092
person
Provider Business Mailing Address Details
Address
1321 Washington Ave
City
State
Zip
04103-3636
Phone Number
207-536-3088
Fax Number
207-536-3092
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
CNP121069 (Maine)
Definition
Definition to come...
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