Emerdello, Kathleen Dolan Emerson
Emerdello, Kathleen Dolan Emerson is an sole proprietor health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Emerdello, Kathleen Dolan Emerson can be contacted via phone (207) 662-0111.Contact Information
Primary practice address
22 Bramhall St
Portland ME 04102-3134
Phone: (207) 662-0111
Fax: (510) 300-8039
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 95048259 | California |
Nursing Service Providers / Registered Nurse | 163W00000X | RN80303 | Maine |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 95005404 | California |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 235826 | California |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | CNM212013 | Maine |
Profile Details
NPI number | 1063955011 |
---|---|
LBN Legal business name | Emerdello, Kathleen Dolan Emerson |
Credentials | CNM, WHNP, RN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 23rd, 2016 |
Last updated | May 12th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063955011 | NPPES |
Maine | Other | CNM03965 | CNM03965 |
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