Healthcare Provider Details

I. General information

NPI: 1417133349
Provider Name (Legal Business Name): KATHLEEN L WEBSTER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2008
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

667 MAIN ST
READFIELD ME
04355-3302
US

IV. Provider business mailing address

667 MAIN ST
READFIELD ME
04355-3302
US

V. Phone/Fax

Practice location:
  • Phone: 207-458-1058
  • Fax:
Mailing address:
  • Phone: 207-458-1058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP81811
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNS84145
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR021854
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: