Kim Marie Redfearn, CRNP
Nurse Practitioner, Gerontology in Accokeek, MD. Individual provider (NPI-1).
NPI number1861982936
StatusActive
Last updated in NPPESMay 15, 2018
Details
- NPI
- 1861982936
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kim Marie Redfearn
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2018
- Last updated
- May 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | R160299 | MD | Yes |
Practice location
18415 Garner LnAccokeek, MD 20607-3228
Phone 202-679-1546
Mailing address
18415 Garner LnAccokeek, MD 20607-3228
Phone 202-679-1546
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.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.