Individual
KIMBERLY NICOLE DEWESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
175 MARY ST, BOONE, NC 28607-5025
(828) 264-9664
Mailing address
338 WALNUT LN, VILAS, NC 28692-9285
(704) 900-4562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013053
NC
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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