KELLY WALDROUP NP
NPI 1699436758
Nurse Practitioner - Family in Windham, ME

Active since December 31, 2021
582 ROOSEVELT TRL, WINDHAM, ME 04062(207) 892-3233 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Waldroup Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY WALDROUP NP (NPI 1699436758) is an individual family provider in Windham, Maine, licensed in Maine (CNP211586) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1699436758
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY WALDROUPCredential: NP
Location Address582 ROOSEVELT TRLWindham, ME 04062-4904
Mailing Address582 Roosevelt TrlWindham, ME 04062-4904 · (207) 892-3233
Sole ProprietorNo
Enumeration DateDecember 31, 2021
NPPES CertifiedDecember 31, 2021
NPI 1699436758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ME · CNP211586
582 ROOSEVELT TRL, Windham, ME 04062

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
582 ROOSEVELT TRL
WINDHAM, ME 04062
Internal Medicine
582 ROOSEVELT TRL
WINDHAM, ME 04062
Nurse Practitioner
582 ROOSEVELT TRL
WINDHAM, ME 04062
Physician Assistant
582 ROOSEVELT TRL
WINDHAM, ME 04062
Physician Assistant
582 ROOSEVELT TRL
WINDHAM, ME 04062
Counselor (Mental Health)
582 ROOSEVELT TRL
WINDHAM, ME 04062
Nurse Practitioner (Family)
582 ROOSEVELT TRL
WINDHAM, ME 04062
Nurse Practitioner (Adult Health)
582 ROOSEVELT TRL
WINDHAM, ME 04062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Waldroup's NPI number?

The NPI number for Kelly Waldroup is 1699436758. It was assigned to this individual provider in the NPPES registry on December 31, 2021.

Where is Kelly Waldroup located?

Kelly Waldroup practices at 582 Roosevelt Trl, Windham, ME 04062. The listed phone number is (207) 892-3233.

What is Kelly Waldroup's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Waldroup was last updated on December 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.