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Individual

MRS. SIERRA KIMBERLY KNISKERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C, IBCLC

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
RN-112261
HI
363L00000X
Nurse Practitioner
Primary
APRN-4687-0
HI

Other

Enumeration date
05/28/2024
Last updated
10/07/2024
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