Individual
MRS. KIMBERLY FAYE SENNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNM, PMHNP-BC
Contact information
Practice address
1210 COTTONWOOD CREEK TRL STE 230, CEDAR PARK, TX 78613-2688
(512) 643-6099
Mailing address
214 NORTHERN TRL, LEANDER, TX 78641-8064
(702) 203-1889
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1056730
TX
367A00000X
Advanced Practice Midwife
AP124363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1056730
APN LICENSE NUMBER
TX
05
—
1750658795
—
NV
01
—
AP124363
APN LICENSE NUMBER
TX
Enumeration date
11/18/2011
Last updated
02/18/2022
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