- Practice location
- 180 Church Hill RD Ste 1, Leeds, ME 04263
- Phone
- 207-524-3501
- Fax
- 207-524-2093
- Last updated
- June 25, 2021
Kimberly R. Pettengill is a Nurse Practitioner, Family based in Leeds, ME. Kimberly R. Pettengill practices in Leeds, ME and has the professional credentials of FNP. The NPI Number for Kimberly R. Pettengill is 1942674742 and holds a License No. CNP151177 (ME). The current practice location address for Kimberly R. Pettengill is 180 Church Hill RD Ste 1, Leeds, ME 04263 and can be reached out via phone at 207-524-3501 and via fax at 207-524-2093.
Provider Profile Details
- NPI Number
- 1942674742
- Provider Name
- Kimberly R. Pettengill
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 180 Church Hill RD Ste 1, Leeds, ME 04263
- Phone Number
- 207-524-3501
- Fax Number
- 207-524-2093
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 18, 2015
- Last Update Date
- June 25, 2021
- Certification Date
- June 25, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 180 Church Hill RD Ste 1
Leeds, ME 04263 - City
- Leeds
- State
- Maine
- Zip
- 04263
- Phone Number
- 207-524-3501
- Fax Number
- 207-524-2093
Provider Business Mailing Address Details
- Address
- 180 Church Hill RD Ste 1
Leeds, ME 04263-3418 - City
- Leeds
- State
- ME
- Zip
- 04263-3418
- Phone Number
- 207-524-3501
- Fax Number
- 207-524-2093
License Information
- License Number
- CNP151177
- License State
- ME
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Leeds, ME
View all Nurse Practitioner, Family providers in Leeds →- Elena C Muehter, APRNNurse Practitioner, Family · NPI 1306396189
- Hailey DemascioNurse Practitioner, Family · NPI 1295648194
- Josephine A Poulin, FNPNurse Practitioner, Family · NPI 1114480860
- Mrs. Amber Lewis, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1326886177
- Dr. Jessica E Richard, OTD, OTR/LOccupational Therapist · NPI 1023968369
- Allison L EaslerCounselor, Mental Health · NPI 1972464683
Frequently Asked Questions
What is the NPI number of Kimberly R Pettengill, FNP?
The NPI number of Kimberly R Pettengill, FNP is 1942674742. It was assigned on November 18, 2015 and is currently active in the NPPES registry.
What is the specialty of Kimberly R Pettengill, FNP?
Kimberly R Pettengill, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP151177.
Where does Kimberly R Pettengill, FNP practice?
The practice location is 180 Church Hill RD Ste 1, Leeds, ME 04263. The office can be reached at 207-524-3501 (phone) or 207-524-2093 (fax).
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 1942674742 directly on the NPPES registry website.