Individual
KIMBERLY SUE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 E NICOLLET BLVD, BURNSVILLE, MN 55337-4522
(952) 250-2871
Mailing address
17040 GLENWOOD AVE, LAKEVILLE, MN 55044-7416
(952) 250-2871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AG09230115
MN
363LA2200X
Adult Health Nurse Practitioner
AG09230115
MN
363LG0600X
Gerontology Nurse Practitioner
AG09230115
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
AG09230115
MN
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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