Individual provider · Type 1 NPI

Theresa Roelke, NP

Nurse Practitioner · South Portland, ME

NPI number 1720525447 Active

Practice location

100 Foden Rd Ste 103
South Portland, ME 04106-2327

Fax (207) 828-1122

Mailing address

100 Foden Rd Ste 6B
South Portland, ME 04106-2327

Other practice locations

  • 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 · (207) 396-7760

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCNP161163 (ME)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

16 other providers at this address

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About NPI 1720525447

Theresa Roelke, NP's National Provider Identifier is 1720525447, issued on Jan 20, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Portland, ME. The record was last updated on Mar 24, 2026.