Individual
KIMBERLY LYANNE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, FNP-BC
Contact information
Practice address
5810 W BEVERLY LN, GLENDALE, AZ 85306-1800
(480) 792-6024
(480) 257-1992
Mailing address
5810 W BEVERLY LN, GLENDALE, AZ 85306-1800
(480) 792-6024
(480) 257-1992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
230115
AZ
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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