Individual
SHEILA LYNNE KIMBLE-HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M., CFNP
Contact information
Practice address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4900
(800) 852-3264
Mailing address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4900
(800) 852-3264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
607019-1
NY
163WG0000X
General Practice Registered Nurse
107645
CO
363LF0000X
Family Nurse Practitioner
F335771-1
NY
367A00000X
Advanced Practice Midwife
Primary
F001331-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31005837
—
NM
05
—
HS19IP
—
AK
05
—
HS19OP
—
AK
Enumeration date
06/30/2006
Last updated
01/19/2017
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