Individual
KIMBERLY PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-AC
Contact information
Practice address
4100 W UNIVERSITY DR, PROSPER, TX 75078-3123
(945) 204-4100
(682) 885-1903
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1088620
TX
363LP0200X
Pediatric Nurse Practitioner
1088620
TX
Other
Enumeration date
07/29/2022
Last updated
08/20/2024
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