Nevells, Kimberly A

Nevells, Kimberly A is an individual health care provider with primary practice located at 1420 Main St , Sanford ME 04073-3680. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nevells, Kimberly A can be contacted via phone (207) 850-5744.

Contact Information

Primary practice address
1420 Main St Sanford ME 04073-3680
Phone: (207) 850-5744
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0390656 Maine
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP81440 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP81440 Maine

Profile Details

NPI number 1508840091
LBN Legal business name Nevells, Kimberly A
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jan 25th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508840091 NPPES
Maine MEDICAID 1508840091

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