Individual
MRS. KIMBERLY LYNN CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4921 E BELL RD STE 205, SCOTTSDALE, AZ 85254-6002
(800) 640-3451
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
300614
AZ
363LA2200X
Adult Health Nurse Practitioner
145260
MO
Other
Enumeration date
05/23/2008
Last updated
11/05/2024
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