Provider Demographics
NPI:1235469388
Name:LOMBARD, KRISTEN (RN)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:
Last Name:LOMBARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 JONES RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:ME
Mailing Address - Zip Code:04348-4016
Mailing Address - Country:US
Mailing Address - Phone:207-229-4690
Mailing Address - Fax:
Practice Address - Street 1:329 JONES RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:ME
Practice Address - Zip Code:04348-4016
Practice Address - Country:US
Practice Address - Phone:207-229-4690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAS084068163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult