Healthcare Provider Details

I. General information

NPI: 1407768187
Provider Name (Legal Business Name): TRINITY DIRECT PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 ACADEMY ST STE B
PRESQUE ISLE ME
04769-3167
US

IV. Provider business mailing address

167 ACADEMY ST STE B
PRESQUE ISLE ME
04769-3167
US

V. Phone/Fax

Practice location:
  • Phone: 207-687-1486
  • Fax: 207-209-6780
Mailing address:
  • Phone: 207-687-1486
  • Fax: 207-209-6780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JUDITH M PIMENTAL
Title or Position: OWNER/PROVIDER
Credential: MSN FNP-C
Phone: 207-687-1486