Individual provider · NPI-1
Sheila Lynne Kimble-Haas, C.N.M., CFNP
Advanced Practice Midwife · Ketchikan, AK
NPI number1366470940
StatusActive
Last updated in NPPESJan 19, 2017
Details
- NPI
- 1366470940
- Entity type
- Individual (NPI-1)
- Name
- Sheila Lynne Kimble-Haas
- Credential
- C.N.M., CFNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2006
- Last updated
- Jan 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | F001331-1 | NY | Yes |
| 163W00000X | Registered Nurse | 607019-1 | NY | |
| 163WG0000X | Registered Nurse, General Practice | 107645 | CO | |
| 363LF0000X | Nurse Practitioner, Family | F335771-1 | NY |
Practice location
2960 Tongass AveKetchikan, AK 99901-5742
Phone 907-228-4900 · Fax 800-852-3264
Mailing address
2960 Tongass AveKetchikan, AK 99901-5742
Phone 907-228-4900 · Fax 800-852-3264
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