KATHERINE A DICONZO

PORTLAND, ME
NPI1700380466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: ME  CNP181035)
Enumeration Date2018-03-19
Last Update Date2018-03-19
Business Address
KATHERINE A DICONZO APRN-CNP
335 BRIGHTON AVE
PORTLAND, ME 04102
Phone number: 207-775-4000
Mailing Address
KATHERINE A DICONZO APRN-CNP
PO BOX 1849
LEWISTON, ME 04241-1849
Phone number: 207-784-2554