Individual
KIMBERLY D VANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6320 W UNION HILLS DRIVE, BLDG B SUITE 1000, GLENDALE, AZ 85308-1096
(623) 328-5908
(480) 830-3901
Mailing address
6320 W UNION HILLS DRIVE, BLDG B SUITE 1000, GLENDALE, AZ 85308-1096
(623) 328-5908
(480) 830-3901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN036510
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720643
—
AZ
Enumeration date
09/27/2006
Last updated
03/09/2018
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