Individual
MRS. KIMBERLY MUNNEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
2227 W BASELINE RD STE 101, TEMPE, AZ 85283-1250
(602) 254-6640
(602) 254-6164
Mailing address
2227 W BASELINE RD STE 101, TEMPE, AZ 85283-1250
(602) 254-6640
(602) 254-6164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219630
AZ
363LF0000X
Family Nurse Practitioner
5007649
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558798371
—
NC
Enumeration date
10/11/2013
Last updated
01/31/2024
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