Individual
GRETCHEN NICOLL GIMBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
26 W COLE RD STE 102, BIDDEFORD, ME 04005-9407
(207) 294-5800
Mailing address
276 BROADTURN RD, SCARBOROUGH, ME 04074-9127
(207) 504-0366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1737
ME
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/20/2016
Last updated
03/17/2018
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