Individual
KIMBERLY BYSHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
28105 THREE NOTCH RD # 1C, MECHANICSVILLE, MD 20659-3235
(301) 290-1510
(301) 290-1574
Mailing address
1401 HOLLY WOODS DR, LUSBY, MD 20657-4144
(410) 474-5251
(301) 290-1510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R206634
MD
Other
Enumeration date
02/17/2020
Last updated
01/30/2025
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