Individual
MRS. KIMBERLY DENIESE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUTONOMOUS APRN
Contact information
Practice address
775 E MERRITT ISLAND CSWY STE 115, MERRITT ISLAND, FL 32952-3311
(321) 349-0642
(321) 349-0643
Mailing address
680 VENETIAN WAY, MERRITT ISLAND, FL 32953-4116
(321) 609-0654
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9250594
FL
Other
Enumeration date
07/19/2018
Last updated
11/16/2023
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