Individual
MRS. KIMBERLY ANN VASIENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 CABARRUS AVE E, CONCORD, NC 28025-3699
(855) 743-2247
Mailing address
2646 IVEY WOOD LN, MATTHEWS, NC 28105-4158
(704) 845-9252
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F08200021
NC
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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