Kimberly A Bumbera, Nurse Practitioner
Nurse Practitioner, Gerontology in Plantsville, CT. Individual provider (NPI-1).
NPI number1164085619
StatusActive
Last updated in NPPESOct 16, 2025
Details
- NPI
- 1164085619
- Entity type
- Individual (NPI-1)
- Name
- Kimberly A Bumbera
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2019
- Certification date
- Oct 16, 2025
- Last updated
- Oct 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 8176 | CT | Yes |
| 163WG0600X | Registered Nurse, Gerontology | 89547 | CT |
Practice location
187 Marion AvePlantsville, CT 06479-1442
Phone 860-919-9560
Mailing address
187 Marion AvePlantsville, CT 06479-1442
Phone 860-919-9560
Other practice locations
560 Cumberland Hill Rd
Woonsocket, RI 02895-5635
Woonsocket, RI 02895-5635
Phone 800-411-6768
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