Individual
MS. KIMBERLY D WIERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
660 N WESTMORELAND RD, WOMEN'S CENTER, SUITE 100, LAKE FOREST, IL 60045-1659
(847) 582-2134
(847) 535-7285
Mailing address
660 N WESTMORELAND RD, WOMEN'S CENTER, SUITE 100, LAKE FOREST, IL 60045-1659
(847) 582-2134
(847) 535-7285
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209004179
IL
Other
Enumeration date
03/30/2013
Last updated
03/30/2013
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