Individual
SUSAN RUTH KIMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2230 VENETIAN CT, NAPLES, FL 34109-8712
(239) 236-5448
Mailing address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 223-2751
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11023052
FL
Other
Enumeration date
07/21/2022
Last updated
08/02/2025
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