Individual
KIMBERLY BOOTHBY-DOWNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 221-4242
(207) 523-1913
Mailing address
PO BOX 284, BRATTLEBORO, VT 05302-0284
(207) 221-4242
(207) 523-1913
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R024613
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251010099
—
ME
Enumeration date
12/19/2005
Last updated
03/17/2022
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