Individual
KIMBERLY ANN WHITEHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
17301 E SPRING VALLEY RD STE F, SPRING VALLEY, AZ 86333
(928) 632-4909
(928) 632-4973
Mailing address
17301 E SPRING VALLEY RD STE F, SPRING VALLEY, AZ 86333-4263
(928) 632-4909
(928) 632-4973
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19859
CA
363LF0000X
Family Nurse Practitioner
Primary
AP8027
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP8027
ARIZONA STATE BOARD OF NURSING
AZ
01
—
RN193646
ARIZONA STATE BOARD OF NURSING
AZ
01
—
Z205470
MEDICARE
AZ
Enumeration date
09/21/2010
Last updated
06/20/2018
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