Individual
KIMBERLY ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3921 E BASELINE RD, SUITE 100, GILBERT, AZ 85234-2727
(480) 668-4411
(480) 776-5169
Mailing address
3921 E BASELINE RD, SUITE 100, GILBERT, AZ 85234-2727
(480) 668-4411
(480) 776-5169
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP4445
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP4445
ADVANCE PRACTICE LICENSE
AZ
Enumeration date
04/23/2012
Last updated
10/10/2013
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