Individual
MS. KIMBERLEE ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11340 W BELL RD STE 121, SURPRISE, AZ 85378-9333
(623) 444-2123
Mailing address
11340 W BELL RD STE 121, SURPRISE, AZ 85378-9333
(623) 444-2123
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN142830
AZ
363LF0000X
Family Nurse Practitioner
Primary
300128
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TEMP300128
ARIZONA BOARD OF NURSING
AZ
Enumeration date
05/08/2012
Last updated
11/12/2024
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