Individual
MS. KIMBERLY ANN ANSELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, MSN, ARNP
Contact information
Practice address
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(321) 752-1200
Mailing address
321 FRANZING ST SW, PALM BAY, FL 32908-1310
(321) 427-6548
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9168349
FL
367500000X
Certified Registered Nurse Anesthetist
C-APN.0103889-C-CRNA
CO
Other
Enumeration date
12/03/2012
Last updated
05/21/2025
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