Individual
KIMBERLY ANN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
211 MARGINAL WAY, PORTLAND, ME 04101-2467
(207) 544-9355
(207) 544-7756
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
95016926
CA
363L00000X
Nurse Practitioner
95016916
CA
363LF0000X
Family Nurse Practitioner
Primary
CNP241470
ME
Other
Enumeration date
04/01/2021
Last updated
09/05/2024
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