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Contact Information

KATHLEEN D EMERDELLO, CNM, WHNP, RN
22 BRAMHALL ST
PORTLAND, ME04102-3134
 Phone: 207-662-0111
 Fax: 510-300-8039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Registered Nurse

163W00000X
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KATHLEEN D EMERDELLO · (Female)

NPI Number 1063955011
Status Active
Credentials CNM, WHNP, RN
Entity Individual
Enumeration date 11/23/2016
Last updated 05/12/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 235826
  • CA License # 95005404
  • CA License # 95048259
  • ME License # CNM212013
  • ME License # RN80303
  • ME Other CNM03965 CNM03965
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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