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NPI Code Detail

MEDICARE: KRISTIE NICOLE CARAZO FNP-C

MEDICARE:   KRISTIE NICOLE CARAZO  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner212197LA
2363LF0000XFamily Nurse Practitioner95027152CA
3363LF0000XFamily Nurse PractitionerCNP231523ME

General Provider Information

NPI Number : 1588293237
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIE NICOLE CARAZO FNP-C
Provider Business Mailing Address
First Line : 62 MAIN ST
Second Line :
City : SKOWHEGAN
State : ME
Zip : 04976-1146
Country : US
Telephone Number : 207-858-4844
Fax Number : 207-858-0348
Provider Business Practice Location Address
First Line : 62 MAIN ST
Second Line :
City : SKOWHEGAN
State : ME
Zip : 04976-1146
Country : US
Telephone Number : 207-858-4844
Fax Number : 207-858-0348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2020
Last Update Date : 11/18/2025

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Directions to “ KRISTIE NICOLE CARAZO FNP-C” Practice Location

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