Individual
MRS. KYMBERLI ANGELINA TILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1949 W RAY RD STE 23, CHANDLER, AZ 85224-4008
(480) 917-1720
(480) 917-6934
Mailing address
1949 W RAY RD STE 23, CHANDLER, AZ 85224-4008
(480) 917-1720
(480) 917-6934
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP145423
TX
363LF0000X
Family Nurse Practitioner
Primary
308860
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518039965
—
TX
Enumeration date
03/12/2020
Last updated
07/11/2024
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