Individual
KATHRYN IMBORDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
3601 W COMMERCIAL BLVD STE 5, FORT LAUDERDALE, FL 33309-3392
(954) 485-5666
(954) 484-1651
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001513
CA
367500000X
Certified Registered Nurse Anesthetist
APRN11000886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102065100
—
FL
Enumeration date
01/09/2019
Last updated
05/14/2021
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