KATHRYN WARDWELL


Address: 15 Enterprise Dr, Augusta, ME 04330-7997
Phone: 2076218880

KATHRYN WARDWELL (NPI# 1114449915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114449915
Entity Type Individual
Full Name KATHRYN WARDWELL
Other Name KATHRYN MORANG
Credential FNP
Practice Address 15 Enterprise Dr
Augusta
ME 04330-7997
Mailing Address Po Box 569
Rangeley
ME 04970-0569
Practice Telephone 2076218880
Practice Fax Number 2076211881
Mailing Telephone 2078642699
Mailing Fax Number 2078642969
Enumeration Date 2017-07-13
Last Update Date 2019-05-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
CNP171079 ME Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4 Clement Way, Belgrade, ME 049174370 2074953323 2074953353

Office Location

Street Address 15 ENTERPRISE DR
City AUGUSTA
State ME
Zip Code 04330-7997

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760458129 William D Rogers Orthopaedic Surgery 15 Enterprise Dr, Ste 100, Augusta, ME 04330-7894 2006-02-27
1457995151 Alyssa Hanson Nurse Practitioner 15 Enterprise Dr, Augusta, ME 04330-7997 2019-11-05
1104474642 Michael Rodger Orthopaedic Surgery 15 Enterprise Dr, Augusta, ME 04330-7997 2019-08-28
1336707397 Irina Bryant Occupational Therapist 15 Enterprise Dr, Augusta, ME 04330-7997 2019-06-04
1922665652 Sarah Havener Nurse Practitioner 15 Enterprise Dr, Augusta, ME 04330-7997 2019-05-29
1245895879 Samantha Guyette Physician Assistant 15 Enterprise Dr, Augusta, ME 04330-7997 2019-05-09
1265096663 Rachel Hough Physician Assistant 15 Enterprise Dr, Augusta, ME 04330-7997 2019-05-01
1437713831 Jessica Cysner Physician Assistant 15 Enterprise Dr, Augusta, ME 04330-7997 2019-05-01
1356827778 Sandra Pelletier Nurse Practitioner 15 Enterprise Dr, Augusta, ME 04330-7997 2018-07-18
1861978090 Allyson Eller Physician Assistant 15 Enterprise Dr, Augusta, ME 04330-7997 2018-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770181877 Renewal Family Center, LLC Community/Behavioral Health 10 Learners Drive, Augusta, ME 04330 2020-10-12
1134748759 Chelsea Simone Koch Registered Nurse 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 2020-04-14
1790238442 Nicole Lacrosse Behavioral Analyst 53 Hayden Rd, Augusta, ME 04330 2016-07-29
1093176844 Richard J. Larrabee Counselor 312 Townhouse Road, Chelsea, ME 04330 2016-03-08
1376910984 Sarah C. A. Tatlock Social Worker 41 Anthony Ave, Augusta, ME 04330 2015-08-31
1457728180 Va Maine Health General Acute Care Hospital 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 2015-08-28
1043696842 Megan Arsenault Pharmacist 403 Water Street, Augusta, ME 04330 2015-08-04
1205219987 Trevor Holbert Audiologist 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 2015-06-30
1659787836 Hannah M. Pullen Occupational Therapy Assistant 12 Shuman Ave Ste 16, Augusta, ME 04330 2014-07-08
1831469899 Tanya Bernadette Quarterman Specialist 153 Hospital St Ste 13, Augusta, ME 04330 2012-01-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558962894 Anna Marie Kodama Nurse Practitioner 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 2020-11-03
1588262372 Taylor Safford Nurse Practitioner 1348 Walton Way Ste 4100, Augusta, GA 30901-5107 2020-10-13
1831719269 Tanaysa Green Nurse Practitioner 1702 Holly Hill Rd, Augusta, GA 30904-5050 2020-04-27
1699395749 Mary Elizabeth Dalis Nurse Practitioner 1025 Redbird Rd, Augusta, GA 30904-3181 2020-04-18
1316585185 Rebecca Williford Nurse Practitioner 1220 George C Wilson Dr, Augusta, GA 30909-4501 2019-12-12
1699322370 Ashley Staten Nurse Practitioner 2739 Huntcliffe Dr, Augusta, GA 30909-0662 2019-08-19
1053978205 Keneka V Allen Nurse Practitioner 6229 Key West Dr, Augusta, GA 30909-6745 2019-05-23
1487210589 Jason Schunk Nurse Practitioner S7645 Morning Crest Dr, Augusta, WI 54722-7579 2019-05-14
1740754308 Patricia Lynn Blevins Nurse Practitioner 300 E Hospital Dr, Augusta, GA 30905 2019-01-17
1174097190 Yuri Kang Nurse Practitioner Augusta University Medical Center 1120 15th Street, Augusta, GA 30912-0359 2019-01-12
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Competitor

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City AUGUSTA
Zip Code 04330

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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