Provider Demographics
NPI:1740969575
Name:DORSEY-BERNSTEIN, KATE SUSANNA (APRN)
Entity type:Individual
Prefix:MS
First Name:KATE
Middle Name:SUSANNA
Last Name:DORSEY-BERNSTEIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:KATE
Other - Middle Name:S
Other - Last Name:DORSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:600 CENTER ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-6311
Practice Address - Country:US
Practice Address - Phone:207-955-5565
Practice Address - Fax:207-955-5572
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP231372207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine