Individual
MRS. AIXA NIEVES KIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
444 SW CENTER ST, FAISON, NC 28341-8820
(910) 267-0421
(910) 378-1746
Mailing address
444 SW CENTER ST, FAISON, NC 28341-8820
(910) 267-0421
(919) 378-1746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012617
NC
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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