Individual
KIMBERLY CONWAY BEREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 GAUSE BLVD STE 100, SLIDELL, LA 70458-2949
(985) 280-8970
(985) 280-2618
Mailing address
901 GAUSE BLVD STE 100, SLIDELL, LA 70458-2949
(985) 280-8970
(985) 280-2618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08208
LA
363LP2300X
Primary Care Nurse Practitioner
AP08208
LA
Other
Enumeration date
02/19/2015
Last updated
10/23/2023
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