KATHLEEN FORTI-GALLANT (NPI# 1407876279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407876279 |
| Entity Type | Individual |
| Full Name | KATHLEEN FORTI-GALLANT |
| Credential | FNP |
| Practice Address |
925 Union St Ste 3 Bangor ME 04401-3051 |
| Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
| Practice Telephone | 2079739980 |
| Practice Fax Number | 2079737515 |
| Mailing Telephone | 2079735035 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
CNP81358 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
R028705 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
925 UNION ST STE 3 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093791964 | John Additon Bradford | Specialist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2005-12-21 |
| 1184242505 | Lucas C Bartlett | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1255959680 | Amy Curry | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1710505144 | Jacob Lee Powell | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1366060634 | Sara Packard | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1831668342 | Tyler Lee Jamison | Pediatrics | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2018-11-14 |
| 1154863769 | David Newman | Orthopaedic Surgery | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2016-11-14 |
| 1912343823 | Tracy Bras | Physical Medicine & Rehabilitation | 925 Union St Ste 3, Bangor, ME 04401 | 2013-05-18 |
| 1639432412 | Kathryn Nicole Morin | Physician Assistant | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2012-06-18 |
| 1811180334 | Jessica G Aronowitz | Orthopaedic Surgery | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2007-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699964619 | Frances Catherine Mcdonald | Clinical Nurse Specialist | 144 State St, Portland, ME 04101-3776 | 2007-10-16 |
| 1609978444 | Phoebe Best-devenish | Clinical Nurse Specialist | 10 Wayman Ln, Bar Harbor, ME 04609-1625 | 2006-09-02 |
Please comment or provide details below to improve the information on KATHLEEN FORTI-GALLANT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.