Kimble-Haas, Sheila Lynne

Kimble-Haas, Sheila Lynne is an individual health care provider with primary practice located at 2960 Tongass Ave , Ketchikan AK 99901-5742. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Kimble-Haas, Sheila Lynne can be contacted via phone (907) 228-4900.

Contact Information

Primary practice address
2960 Tongass Ave Ketchikan AK 99901-5742
Phone: (907) 228-4900
Fax: (800) 852-3264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 607019-1 New York
Nursing Service Providers / General Practice 163WG0000X 107645 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F335771-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F001331-1 New York

Profile Details

NPI number 1366470940
LBN Legal business name Kimble-Haas, Sheila Lynne
Credentials C.N.M., CFNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jan 19th, 2017 - about 7 years ago

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 1366470940 NPPES
Alaska MEDICAID HS19OP
Alaska MEDICAID 31005837
Alaska MEDICAID HS19IP

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