Individual
MRS. NADIA MARIE KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 921-4700
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 921-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704410597
MI
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704410597
MI
164W00000X
Licensed Practical Nurse
4703112661
MI
Other
Enumeration date
10/27/2016
Last updated
11/13/2025
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