Individual
KIMBERLY DEVYLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
240 S MAIN ST, WOLFEBORO, NH 03894-4455
(603) 569-7620
(603) 569-7619
Mailing address
563 PLEASANT VALLEY RD, WOLFEBORO, NH 03894-4493
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
079722-23
NH
363LP0200X
Pediatric Nurse Practitioner
RN2298690
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079722-23
NH APRN LICENSE
NH
Enumeration date
10/25/2017
Last updated
11/05/2021
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