Individual
KIMBERLY MARINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
7214 TARA BLUE RIDGE DR, RICHMOND, TX 77469-5991
(281) 731-7115
Mailing address
7214 TARA BLUE RIDGE DR, RICHMOND, TX 77469-5991
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP129573
TX
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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