Ms. Kathryn M. Mordino ANP-BC
Nurse Practitioner in Bangor, ME(View on Map)
Full Name
Ms. Kathryn Marie Mordino ANP-BC
NPI Number
1497092969
NPI Type
Individual Provider
Gender
Female
Enumeration Date
01/03/2013
Specialties
(Taxonomies)Code
363L00000X
363LA2200X
163W00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Maine
Massachusetts
License Number
CNP231559
RN283154
Contact
Information
Purpose
Mailing
Location
Address
21 E SUMMER ST
21 E SUMMER ST
City
Bangor
Bangor
State
ME
ME
Postal Code
04401-5513
04401-5513
Country
US
US
Telephone Number
(617) 435-7601
(617) 435-7601
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/05/2023