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MS. KIMBERLY KAY ANDERSON CNM, APRN

Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1124062161

Individual Registrant:
MS. KIMBERLY KAY ANDERSON CNM, APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
800 MERCY DR # 210  COUNCIL BLUFFS, IA 51503-3128 US
Tel: 712-329-5700  Fax: 712-329-5759

Contact information for business:
201 RIDGE ST STE 307  COUNCIL BLUFFS, IA 51503-4643 US
Tel: 712-329-5700  Fax: 712-329-5759

Registration Information:
NPI: 1124062161
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Psychiatric/Mental Health
NE110373
N363LW0102XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
NE110373
N363LW0102XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
IA084197
Y367A00000XPhysician Assistants & Advanced Practice Nursing Providers
Midwife, Certified Nurse
IAB084197

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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