Kimberley R Fantasia in Waterville - Family
Kimberley R Fantasia - NPI 1154547479
Kimberley R Fantasia is a Family in Waterville, Maine. Kimberley R Fantasia practices all healthcare services and medical treatments related to Family. The NPI Number for Kimberley R Fantasia is 1154547479. The last update date is 2010-09-02.
Kimberley R Fantasia's current location address is 200 Kennedy Memorial Dr, Waterville, Maine. You can contact this provider via phone number 2076813000. The mailing address for Kimberley R Fantasia is 200 Kennedy Memorial Dr, Waterville, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberley R Fantasia |
|---|---|
| Address | 200 Kennedy Memorial Dr, Waterville, Maine |
| Phone Number | 2076813000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1154547479 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2010-09-02 |
Provider Mailing Address Detail
| Address | 200 Kennedy Memorial Dr |
|---|---|
| City | Waterville |
| State | Maine (ME) |
| Post Code | 49014526 |
| Phone Number | 2076813000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R051730 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kimberley R Fantasia by the Centers for Medicare & Medicaid Services?
The Kimberley R Fantasia has been assigned the NPI (National Provider Identifier) 1154547479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kimberley R Fantasia's facilities are situated?
The facilities of Kimberley R Fantasia are physically located at the following address: 200 Kennedy Memorial Dr, Waterville, ME, 49014526.
What is the Kimberley R Fantasia's specialty and taxonomy code?
The Kimberley R Fantasia's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154547479 to Kimberley R Fantasia?
The Kimberley R Fantasia received its 1154547479 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.
When was the information pertaining to Kimberley R Fantasia most recently updated or revised?
The details related to Kimberley R Fantasia, including its address, specialty, and other relevant information, were last updated or revised on 2010-09-02.