Individual
MRS. KIMBERLY A NIEBRUGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1029 N 8TH ST, VANDALIA, IL 62471-1238
(618) 283-4469
(618) 283-4767
Mailing address
1029 N 8TH ST, VANDALIA, IL 62471-1238
(618) 283-4469
(618) 283-4767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200932407
MO
363L00000X
Nurse Practitioner
Primary
209-007693
IL
Other
Enumeration date
03/17/2010
Last updated
09/10/2013
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