Individual
KIMBERLY AMBROSIA MALFABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7000
Mailing address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10036681
OR
Other
Enumeration date
07/03/2025
Last updated
07/09/2025
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