Kelly Lemieux Dudley
Nurse Practitioner - Primary Care
250 Arsenal St
Augusta
, Maine 04330-5742
Kelly Lemieux Dudley
Nurse Practitioner - Primary Care
250 Arsenal St
Augusta
, Maine 04330-5742
(207) 624-3967
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Kelly Lemieux Dudley
- 250 Arsenal St
- Augusta, ME
- Zip : 04330-5742
- Phone : (207) 624-3967
Second Address
- Kelly Lemieux Dudley
- 250 Arsenal St
- Augusta, ME
- Zip : 04330-5742
- Phone : (207) 624-3967
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | CNP151078 | ME |
National Provider Identifier
| NPI | 1053781492 |
|---|---|
| Provider Name | Kelly Lemieux Dudley |
| First Address | Augusta, ME 04330-5742 |
| Second Address | Augusta, ME 04330-5742 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2015 |
| Last Update Date | 28/09/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.