Kimberlee Ann Clark-Raby, A.G.N.P.-BC
Nurse Practitioner, Adult Health in Roseville, CA. Individual provider (NPI-1).
NPI number1356580906
StatusActive
Last updated in NPPESNov 20, 2014
Details
- NPI
- 1356580906
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberlee Ann Clark-Raby
- Credential
- A.G.N.P.-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2009
- Last updated
- Nov 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 21308 | CA | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 21308 | CA |
Practice location
1161 Cirby WayRoseville, CA 95661-4421
Phone 916-782-1238
Mailing address
3001 Douglas Blvd#150
Roseville, CA 95661-3851
Phone 916-241-9844 · Fax 916-241-9845
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All 12 Adult Health Nurse Practitioner providers in Roseville · All 6,478 providers in Roseville
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