Individual
KIMBERLY TRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
611 W BELLE AVE, SAINT CHARLES, MI 48655-1611
(989) 865-9958
Mailing address
PO BOX 5352, SAGINAW, MI 48603-0352
(989) 860-0088
(989) 791-3859
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704289982
MI
363LF0000X
Family Nurse Practitioner
Primary
F10180830
MI
Other
Enumeration date
10/15/2018
Last updated
02/17/2023
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