Kimberley R Fantasia, FNP | |
200 Kennedy Memorial Dr, Waterville, ME 04901-4526 | |
(207) 681-3000 | |
Not Available |
Full Name | Kimberley R Fantasia |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 200 Kennedy Memorial Dr, Waterville, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154547479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R051730 (Maine) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP081842 (Maine) | Primary |
Entity Name | Nautilus Health Care Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912013558 PECOS PAC ID: 5991604852 Enrollment ID: O20040108000803 |
Entity Name | Gulfside Palliative Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750531489 PECOS PAC ID: 3678611837 Enrollment ID: O20091109000107 |
Mailing Address | Practice Location Address |
---|---|
Kimberley R Fantasia, FNP 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 Ph: (207) 681-3000 | Kimberley R Fantasia, FNP 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 Ph: (207) 681-3000 |
Linda Lee Ohnmacht, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1270 | |
Hilary Lee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Main St, Waterville, ME 04901 Phone: 207-877-3400 Fax: 207-877-3401 | |
Elizabeth Harwood, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-861-5000 Fax: 207-861-5001 | |
Susan Lewis Cruz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Chase Ave, Workplace Health, Waterville, ME 04901 Phone: 207-872-4260 Fax: 207-872-4034 | |
Alycia Anne Allen, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1800 | |
Jessica L Rubashkin, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 159 Silver St, Waterville, ME 04901 Phone: 207-873-5437 Fax: 207-861-5448 | |
Christina Jg Netten, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Main St, Waterville, ME 04901 Phone: 207-877-3460 Fax: 207-877-3459 |