Provider Demographics
NPI:1780337113
Name:KEHOE, ADRIANNA M (FNP)
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:M
Last Name:KEHOE
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-3032
Mailing Address - Country:US
Mailing Address - Phone:207-662-1535
Mailing Address - Fax:207-761-3021
Practice Address - Street 1:930 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-3032
Practice Address - Country:US
Practice Address - Phone:207-662-1535
Practice Address - Fax:207-761-3021
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP241272363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner