| NPI | 1023482023 |
|---|---|
| Former Name | KIMBERLY RAE STALNAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5016551) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95003905) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003905) | |
| Enumeration Date | 2015-11-15 |
| Last Update Date | 2025-03-20 |