Individual
KIMBERLY A BUMBERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
187 MARION AVE, PLANTSVILLE, CT 06479-1442
(860) 919-9560
Mailing address
187 MARION AVE, PLANTSVILLE, CT 06479-1442
(860) 919-9560
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
89547
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
8176
CT
Other
Enumeration date
04/19/2019
Last updated
10/16/2025
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