KIMBERLY BRIDZEKE STATON

AUSTIN, TX
NPI1003396391
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  AP138337)
Enumeration Date2018-08-16
Last Update Date2018-08-16
Business Address
KIMBERLY BRIDZEKE STATON APRN
1201 E 7TH ST STE 620
AUSTIN, TX 78702-3222
Phone number: 800-370-3651
Mailing Address
KIMBERLY BRIDZEKE STATON APRN
55 HATCHETTS HILL RD
OLD LYME, CT 06371-1534
Phone number: 800-370-3651
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