Individual
MRS. KIMBERLEY JEAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
9305 W THOMAS RD, SUITE 155, PHOENIX, AZ 85037-3328
(623) 936-1780
(623) 936-9116
Mailing address
9305 W THOMAS RD, SUITE 155, PHOENIX, AZ 85037-3328
(623) 936-1780
(623) 936-9116
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP2825
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z143364
MEDICARE PTAN
AZ
Enumeration date
11/04/2008
Last updated
10/31/2011
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