MRS. KIMBERLY RUTH ANDERSON R.N. C-FNP NPI 1174632012

NPI Information

NPI: 1174632012
Provider Name: MRS. KIMBERLY RUTH ANDERSON, R.N., C-FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2591 SOUTH LEATON ROAD
MOUNT PLEASANT, MI
ZIP 48858
Phone: (989) 775-4605
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MRS. Kimberly Ruth Anderson, R.N., C-FNP is a family nurse practitioner in Mount Pleasant, MI. MRS. Kimberly Ruth Anderson, R.N., C-FNP NPI is 1174632012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2591 SOUTH LEATON ROAD
MOUNT PLEASANT, MI
ZIP 48858
Phone: (989) 775-4605
Fax: (989) 775-4680

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704227621	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500B910710	OTHER	MICHIGAN	BCBSM
2	N55970002	MEDICARE PIN	MICHIGAN
3	P14270003	MEDICARE PIN	MICHIGAN
4	5008775960	OTHER	MICHIGAN	BCBSM
5	B96011128	MEDICARE PIN	MICHIGAN
6	Q75016	MEDICARE UPIN	MICHIGAN
7	P14270009	MEDICARE PIN	MICHIGAN
8	P33470007	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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