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KIMBERLY BERGER LABREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
836 PRUDENTIAL DR FL 6, ATTN: CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32207-8334
(904) 202-7300
(904) 202-7377
Mailing address
PO BOX 13925, BELFAST, ME 04915-4030
(904) 376-3769
(904) 202-7377

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001236485
VA
363LA2200X
Adult Health Nurse Practitioner
0024170030
VA
363LA2200X
Adult Health Nurse Practitioner
30 305443
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9405150
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015141600
FL
01
IN PROCESS
RAILROAD MEDICARE
FL
Enumeration date
07/17/2010
Last updated
11/17/2015
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