KRYSTLE NICOLE LADD

SOUTH PORTLAND, ME
NPI1700383742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME  CNP181193)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R190626)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  AC002377)
Enumeration Date2018-04-06
Last Update Date2025-03-18
Business Address
Mrs. KRYSTLE NICOLE LADD PMHNP
100 BRICKHILL AVE STE 304
SOUTH PORTLAND, ME 04106-1999
Phone number: 443-359-1706
Mailing Address
Mrs. KRYSTLE NICOLE LADD PMHNP
119 QUAIL TRL
BUXTON, ME 04093-3219
Phone number: 443-359-1706
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