Active NPIIndividual providerSole proprietor

Mrs. Kimberly A Boutwell, FNP

Nurse Practitioner, Family in Brunswick, Maine

NPI Number1285189654
Practice location
331 Maine St Ste 6, Brunswick, ME 04011-3359
Fax
—
Last updated
October 2, 2023

Kimberly Ann Boutwell is a Nurse Practitioner, Family based in Brunswick, ME. Kimberly Ann Boutwell practices in Brunswick, ME and has the professional credentials of FNP. The NPI Number for Kimberly Ann Boutwell is 1285189654 and holds a License No. CNP161103 (ME). The current practice location address for Kimberly Ann Boutwell is 331 Maine St Ste 6, Brunswick, ME 04011-3359 and can be reached out via phone at 802-558-0134.

Provider Profile Details

NPI Number
1285189654
Provider Name
Kimberly Ann Boutwell
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
331 Maine St Ste 6, Brunswick, ME 04011-3359
Phone Number
802-558-0134
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
August 16, 2016
Last Update Date
October 2, 2023
Certification Date
October 2, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
331 Maine St Ste 6
Brunswick, ME 04011-3359
State
Maine
Zip
04011-3359
Phone Number
802-558-0134
Brunswick, ME 04011Get directions →

Provider Business Mailing Address Details

Address
21 Deerfield Dr
Brunswick, ME 04011-3543
City
Brunswick
State
ME
Zip
04011-3543
Phone Number
802-558-0134
Fax Number
207-753-3088

License Information

License Number
CNP161103
License State
ME
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kimberly A Boutwell, FNP?

The NPI number of Mrs. Kimberly A Boutwell, FNP is 1285189654. It was assigned on August 16, 2016 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kimberly A Boutwell, FNP?

Mrs. Kimberly A Boutwell, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP161103.

Where does Mrs. Kimberly A Boutwell, FNP practice?

The practice location is 331 Maine St Ste 6, Brunswick, ME 04011-3359. The office can be reached at 802-558-0134 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285189654 directly on the NPPES registry website.

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