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Individual
KIMBERLY S. WESTBROOK
Active
Individual
KIMBERLY S. WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9205564
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9205564
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059500
—
FL
01
—
269859500
MEDICAID GRP
FL
01
—
77940
MEDICARE GRP
FL
01
—
ARNP9205564
STATE LICENSE NUMBER
FL
01
—
CF1412
MEDICARD RR GRP
FL
01
—
P00294613
MEDICARE RR
FL
Enumeration date
11/29/2005
Last updated
05/04/2023
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