Individual
KIMBERLY MICHELE CHESTNUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5700 E HIGHWAY 90 FL 4, SIERRA VISTA, AZ 85635-9110
(520) 263-3500
Mailing address
4879 E GLENEAGLE DR, CHANDLER, AZ 85249-7435
(480) 580-9158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN151774
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0987
AZ
Other
Enumeration date
09/23/2013
Last updated
05/10/2023
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