Individual provider · Type 1 NPI

Kimberley R. Fantasia, FNP

Family Nurse Practitioner · Waterville, ME

NPI number 1154547479 Active

Practice location

200 Kennedy Memorial Dr
Waterville, ME 04901-4526

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR051730 (ME)
Family Nurse Practitioner Primary 363LF0000XAP081842 (ME)

Family Nurse Practitioner: Definition to come...

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About NPI 1154547479

Kimberley R. Fantasia, FNP's National Provider Identifier is 1154547479, issued on Apr 17, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waterville, ME. The record was last updated on Sep 2, 2010.