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Nicholas D Pennell, FNP
Family Nurse Practitioner in Portland, Maine
NPI 1053368993

Nicholas D Pennell is a Family Nurse Practitioner based in Portland, ME and is specialized in Family. Nicholas D Pennell practices in Portland, ME and has the professional credentials of FNP. The NPI Number for Nicholas D Pennell is 1053368993 and holds a License No. R049269 (Maine).

The current practice location address for Nicholas D Pennell is 1321 Washington Ave, Portland, ME and can be reached out via phone at 207-780-6565 and via fax at 207-878-6565.

Location: 1321 Washington Ave, Portland, ME, 04103-3636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053368993
Provider Name
Nicholas D Pennell
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1321 Washington Ave, Portland, ME, 04103-3636
Phone Number
207-780-6565
Fax Number
207-878-6565
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30347108 05 NH
433046299 05 ME
institution
Provider Business Practice Location Address Details
Address
1321 Washington Ave
City
Portland
State
Maine
Zip
04103-3636
Phone Number
207-780-6565
Fax Number
207-878-6565
person
Provider Business Mailing Address Details
Address
1321 Washington Ave
City
Portland
State
Maine
Zip
04103-3636
Phone Number
207-780-6565
Fax Number
207-878-6565
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R049269 (Maine)
Definition
Definition to come...
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