| NPI | 1528502002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN A MIKKELSEN Owner 207-536-3088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME CNP121069) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |