Individual
MRS. KIMBERLY SCHUMACHER
Active
Individual
MRS. KIMBERLY SCHUMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
28116343A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200666040A
NURSING-RN
IN
01
—
200667700A
DEVELOPMENTAL THERAPY
IN
01
—
200723300A
DEVELOPMENTAL THERAPY
IN
Enumeration date
04/12/2007
Last updated
07/08/2007
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