Individual
KIMBERLY ANN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 MAIN ST STE D, ELLSWORTH, ME 04605-1919
(207) 613-7500
Mailing address
102 MAIN ST STE D, ELLSWORTH, ME 04605-1919
(207) 613-7500
(207) 613-7600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024172127
VA
363LA2100X
Acute Care Nurse Practitioner
CNP211108
ME
363LA2200X
Adult Health Nurse Practitioner
0024172127
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP211108
ME
363LG0600X
Gerontology Nurse Practitioner
0024172127
VA
Other
Enumeration date
10/22/2014
Last updated
09/09/2025
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