Individual provider · NPI-1

Dr. Kimberly G Anderson, DNP, APRN, FNP-C

Nurse Practitioner, Family · Port St Lucie, FL

NPI number1124659594
StatusActive
Last updated in NPPESSep 23, 2022

Details

NPI
1124659594
Entity type
Individual (NPI-1)
Name
Dr. Kimberly G Anderson
Credential
DNP, APRN, FNP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 3, 2020
Certification date
Sep 23, 2022
Last updated
Sep 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family11006494FLYes

Practice location

6640 S Us Highway 1
Port St Lucie, FL 34952-1421

Phone 888-596-2352

Mailing address

6640 S Us Highway 1
Port St Lucie, FL 34952-1421

Phone 888-596-2352

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Port St Lucie, FL