Individual
KIMBERLEY SUE FAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 N WYATT DR, TUCSON, AZ 85712-6107
(937) 935-7461
Mailing address
2675 N WYATT DR, TUCSON, AZ 85712-6107
(937) 935-7461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
279734
AZ
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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