Individual
KIMBERLY LYNN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3411 N 5TH AVE STE 301, PHOENIX, AZ 85013-3812
(602) 374-4101
(602) 441-0522
Mailing address
9192 W UNION HILLS DR, PEORIA, AZ 85382-8208
(602) 374-4101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2368
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128455
—
AZ
Enumeration date
07/21/2006
Last updated
12/23/2025
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