Contreraz, Kimberely Anne

Contreraz, Kimberely Anne is an individual health care provider with primary practice located at 2015 Jackson St , Anderson IN 46016-4337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Contreraz, Kimberely Anne can be contacted via phone (765) 646-8179.

Contact Information

Primary practice address
2015 Jackson St Anderson IN 46016-4337
Phone: (765) 646-8179
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003566A Indiana

Profile Details

NPI number 1669770855
LBN Legal business name Contreraz, Kimberely Anne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2011
Last updated Feb 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669770855 NPPES
Indiana Other 000000705866 ANTHEM
Indiana MEDICAID 201014480 ANTHEM

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