Nieves, Kimberly

Nieves, Kimberly is an individual health care provider with primary practice located at 1201 Seven Locks Rd Ste 111 , Rockville MD 20854-2957. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nieves, Kimberly can be contacted via phone (301) 762-5020.

Contact Information

Primary practice address
1201 Seven Locks Rd Ste 111 Rockville MD 20854-2957
Phone: (301) 762-5020
Fax: (301) 294-7569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F334164 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R216543 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP200003452 District of Columbia

Profile Details

NPI number 1497799365
LBN Legal business name Nieves, Kimberly
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 18th, 2022 - about 2 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 1497799365 NPPES
New York MEDICAID 02774165

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