Provider Demographics
NPI:1831916691
Name:SPAULDING, KRISTIE LYNN (NP)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:LYNN
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KRISTIE
Other - Middle Name:LYNN
Other - Last Name:LELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:46 GOULD RD
Mailing Address - Street 2:
Mailing Address - City:ORONO
Mailing Address - State:ME
Mailing Address - Zip Code:04473-3039
Mailing Address - Country:US
Mailing Address - Phone:207-735-5883
Mailing Address - Fax:
Practice Address - Street 1:46 GOULD RD
Practice Address - Street 2:
Practice Address - City:ORONO
Practice Address - State:ME
Practice Address - Zip Code:04473-3039
Practice Address - Country:US
Practice Address - Phone:207-735-5883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN53973163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse