NPI | 1669733838 |
---|---|
Former Name | KIMBERLY BLOCK SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998307-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0000864) |
363LF0000X Nurse Practitioner, Family (Licence: TN 16683) | |
363LF0000X Nurse Practitioner, Family (Licence: MS R868155) | |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998307-NP) | |
Enumeration Date | 2012-06-05 |
Last Update Date | 2025-06-26 |