Individual
KIMBERELY ANNE CONTRERAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 646-8179
Mailing address
2015 JACKSON ST, ANDERSON, IN 46016-4337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003566A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000705866
ANTHEM
IN
05
—
201014480
—
IN
Enumeration date
03/11/2011
Last updated
02/15/2023
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