Provider Demographics
NPI:1881227460
Name:ARAJA, KATIE LYN (PMHNP-BC, FNP-BC)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:LYN
Last Name:ARAJA
Suffix:
Gender:F
Credentials:PMHNP-BC, FNP-BC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:LYN
Other - Last Name:ST. PIERRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PMHNP-BC, FNP-BC
Mailing Address - Street 1:117 INGRAHAM DR
Mailing Address - Street 2:
Mailing Address - City:OWLS HEAD
Mailing Address - State:ME
Mailing Address - Zip Code:04854-3210
Mailing Address - Country:US
Mailing Address - Phone:207-593-6592
Mailing Address - Fax:
Practice Address - Street 1:6 GLEN COVE DR
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-4272
Practice Address - Country:US
Practice Address - Phone:207-301-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP221600363LF0000X, 363LP0808X
MEPENDING363LP0808X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program