Individual provider · Type 1 NPI

Kathleen Ingellis

Family Nurse Practitioner · Springvale, ME

NPI number 1306583182 Active

Practice location

15 Oak St
Springvale, ME 04083-1926

Fax (207) 459-2822

Mailing address

91 Auburn St, Ste J #1180
Portland, ME 04103-2119

Other practice locations

  • 400 Congress St, Portland, ME 04101-3515 · (323) 205-7088

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XCNP221094 (ME)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Nurse Practitioner Primary 363LF0000XCNP221094 (ME)

Family Nurse Practitioner: Definition to come...

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About NPI 1306583182

Kathleen Ingellis's National Provider Identifier is 1306583182, issued on May 13, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springvale, ME. The record was last updated on Jun 11, 2025.