MEDICARE: LEDA KATHRYN WERRELL FNP

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
1	363LF0000X	Family Nurse Practitioner	CNP191306	ME

General Provider Information

NPI Number	:	1841584588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEDA KATHRYN WERRELL FNP

Provider Business Mailing Address
First Line	:	119 VILLAGE VIEW LN
Second Line	:
City	:	NORTH YARMOUTH
State	:	ME
Zip	:	04097-6352
Country	:	US
Telephone Number	:	406-218-9066
Fax Number	:	207-200-1251

Provider Business Practice Location Address
First Line	:	119 VILLAGE VIEW LN
Second Line	:
City	:	NORTH YARMOUTH
State	:	ME
Zip	:	04097-6352
Country	:	US
Telephone Number	:	406-218-9066
Fax Number	:	207-200-1251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2011
Last Update Date	:	03/02/2026

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