Individual
KIMBERLY ANN MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
260 MORGAN RD, ANIAK, AK 99557
(907) 675-4556
(907) 675-4687
Mailing address
PO BOX 269, ANIAK, AK 99557-0269
(907) 675-4556
(907) 675-4687
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
105990
AK
163WC0400X
Case Management Registered Nurse
105990
AK
163WC0400X
Case Management Registered Nurse
RN-77939
NM
163WC1500X
Community Health Registered Nurse
105990
AK
163WC1500X
Community Health Registered Nurse
RN-77939
NM
163WH0200X
Home Health Registered Nurse
RN-77939
NM
Other
Enumeration date
10/05/2013
Last updated
03/17/2018
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