Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | CNP151031 | ME |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN211911 | GA |
NPI | 1265786511 |
---|---|
Provider Name | Ms. Kristen E Bell |
First Address | South Portland, ME 04106-6914 |
Second Address | Portland, ME 04102-3134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2012 |
Last Update Date | 21/10/2016 |