Doctor Name: | KIMBERLY HEWITT SPECTRE |
NPI Number: | 1083007306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | CNP151010 |
Business Practice Address: | 118 Northport Ave Belfast, ME - 049156009 |
Business Phone Number: | 2079302639 |
Business Fax Number: | 2073388368 |
Mailing Address: | Po Box 226, BELFAST |
State: | ME |
Postal Code: | 049150226 |
Phone Number: | 2073221807 |
Fax Number: | 2073386820 |
NPI Enumeration Date: | 03/11/2015 |
NPI Last Update Date: | 03/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | CNP151010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |