Individual
MISS KIMBERLY KAY VANDER HEUVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC, MS
Contact information
Practice address
1839 CENTRAL AVE, ST PETERSBURG, FL 33713-9089
(727) 322-1054
Mailing address
13328 2ND ST E, MADEIRA BEACH, FL 33708-2410
(727) 397-1544
(727) 397-1544
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP2069762
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2069762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK492Z
MEDICARE #
FL
Enumeration date
07/25/2006
Last updated
04/25/2025
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