Healthcare Provider Details

I. General information

NPI: 1902725682
Provider Name (Legal Business Name): HEATHER GILBERT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER KIMBALL

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MEDICAL CENTER PKWY
AUGUSTA ME
04330-8160
US

IV. Provider business mailing address

196 CASTLE ISLAND RD
BELGRADE ME
04917-4325
US

V. Phone/Fax

Practice location:
  • Phone: 207-215-7503
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP261621
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: