# KIM MARIE MANUEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972937746
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN9171791 | FL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | ARNP9171791 | FL | — |

## Other

- **Enumeration date:** 08/28/2013
- **Last updated:** 06/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003137439A | — | GA |
| 05 | — | 003137439B | — | GA |
| 05 | — | 009463500 | — | FL |