Individual
KIMBERLY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4805 PURDUE DR, BOYNTON BEACH, FL 33436-7721
(561) 729-9359
Mailing address
4805 PURDUE DR, BOYNTON BEACH, FL 33436-7721
(561) 729-9359
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5014297
NC
363L00000X
Nurse Practitioner
Primary
ARNP9250281
FL
363L00000X
Nurse Practitioner
NP 0024174637
VA
Other
Enumeration date
03/17/2017
Last updated
04/09/2021
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