Healthcare Provider Details

I. General information

NPI: 1639821978
Provider Name (Legal Business Name): KAYLA MARIE FLAHERTY NP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 FIRST PARK DR
OAKLAND ME
04963-5369
US

IV. Provider business mailing address

25 FIRST PARK DR
OAKLAND ME
04963-5369
US

V. Phone/Fax

Practice location:
  • Phone: 207-465-2181
  • Fax: 207-465-4629
Mailing address:
  • Phone: 207-465-2181
  • Fax: 207-465-4629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP211627
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: