Individual
MISS KIMBERLY ISBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1401 AVOCADO AVE STE 709, NEWPORT BEACH, CA 92660
(949) 759-1720
(949) 759-1442
Mailing address
1401 AVOCADO AVE STE 709, NEWPORT BEACH, CA 92660-8714
(497) 591-7209
(949) 759-1442
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23503
CA BOARD OF REGISTERED NURSING NP FURNISHING
CA
Enumeration date
09/10/2013
Last updated
09/03/2019
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