Individual
KIMBERLY RAE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGPCNP-BC
Contact information
Practice address
2203 GA HIGHWAY 130 W, VIDALIA, GA 30474-5555
(912) 245-5491
Mailing address
2203 GA HIGHWAY 130 W, VIDALIA, GA 30474-5555
(912) 245-5491
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN269449
GA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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