Individual
MS. KIMBERLEE S NOTTINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1256 GRANADA BLVD, NAPLES, FL 34103-3201
(239) 450-3783
(800) 521-9318
Mailing address
1256 GRANADA BLVD, NAPLES, FL 34103-3201
(239) 450-3783
(800) 521-9318
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2789312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188602470
CHAMPUS
—
05
—
304445900
—
FL
01
—
430054281
RAILROAD MEDICARE
—
01
—
G1938
BC/BS FL
FL
Enumeration date
02/16/2006
Last updated
06/22/2015
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