Individual
MRS. MERCEDITA VILLAR KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1 CVS DR, WOONSOCKET, RI 02895-6146
(866) 389-2727
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2009038441
MO
363LF0000X
Family Nurse Practitioner
2009038441
NV
Other
Enumeration date
12/15/2009
Last updated
10/19/2021
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