Organization · Type 2 NPI

Kristen Mickkelsen Pmhnp BC LLC

Psychiatric/Mental Health Nurse Practitioner · Portland, ME

NPI number 1528502002 Active

Practice location

1321 Washington Ave, Suite 304
Portland, ME 04103-3636

Fax (207) 536-3092

Mailing address

106 Sunset Rd
Falmouth, ME 04105-2490

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XCNP121069 (ME)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1528502002

Kristen Mickkelsen Pmhnp BC LLC's National Provider Identifier is 1528502002, issued on Dec 19, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, ME. The record was last updated on Dec 19, 2016.