Individual
KIMBERLY L MANASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
1012 UNION ST, BANGOR, ME 04401-3060
(207) 404-8100
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP2311294
ME
Other
Enumeration date
05/23/2023
Last updated
06/29/2023
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