Individual
KIMBERLY DIANELL ARMSTRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
5800 BROADWAY, MERRILLVILLE, IN 46410-2601
(219) 884-9180
(219) 884-9280
Mailing address
3030 W 39TH PL, GARY, IN 46408-1908
(219) 776-0337
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
28150365A
IN
363LF0000X
Family Nurse Practitioner
28150365A
IN
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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