OLIVIA KIMBLE

ESPANOLA, NM
NPI1356836647
Other NameOLIVERA VELICKOVIC
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: HI  APRN-4547)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NM  53443)
363LF0000X Nurse Practitioner, Family
(Licence: NM  F06180294)
Enumeration Date2018-06-28
Last Update Date2024-09-04
Business Address
OLIVIA KIMBLE FNP
1010 SPRUCE ST
ESPANOLA, NM 87532-2724
Phone number: 505-367-0340
Mailing Address
OLIVIA KIMBLE FNP
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770