Individual
ANTOINETTE KIMERER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
439129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036804502
—
TX
05
—
090047401
—
TX
01
—
439129
LICENSE
TN
01
—
86N732
BCBS
TX
Enumeration date
10/19/2006
Last updated
06/16/2015
Update your record
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