Individual
KIMBERLEE MARIE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1840 E BROADWAY RD, TEMPE, AZ 85282-1614
(602) 243-7277
Mailing address
5655 E TEX AL DR, WASILLA, AK 99654-0406
(843) 276-8694
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
171645
AK
Other
Enumeration date
03/25/2021
Last updated
03/29/2021
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