MEDICARE: MRS. JUDITH MARIE PIMENTAL FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	CNP191312	ME

General Provider Information

NPI Number	:	1952931859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUDITH MARIE PIMENTAL FNP

Provider Business Mailing Address
First Line	:	23 HIGH ST
Second Line	:
City	:	FORT FAIRFIELD
State	:	ME
Zip	:	04742-1021
Country	:	US
Telephone Number	:	207-768-4753
Fax Number	:

Provider Business Practice Location Address
First Line	:	167 ACADEMY ST
Second Line	:
City	:	PRESQUE ISLE
State	:	ME
Zip	:	04769-3167
Country	:	US
Telephone Number	:	207-687-1486
Fax Number	:	207-209-6780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2020
Last Update Date	:	01/14/2026

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