Kimberley R Fantasia, FNP
NPI #1154547479 in Waterville, Maine
Provider Information
- NPI Number
- 1154547479
- Entity Type
- Individual
- Name
- Kimberley R Fantasia, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Sep 2, 2010
Practice Location
- Address
- 200 KENNEDY MEMORIAL DR
- City
- Waterville
- State
- Maine
- ZIP Code
- 04901-4526
- Phone
- (207) 681-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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| Tara L Thomas, FNP-C |
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