Waldenmaier, Kim

Waldenmaier, Kim is an individual health care provider with primary practice located at 101 E Wood St Ste 330 , Spartanburg SC 29303-3040. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Waldenmaier, Kim can be contacted via phone (864) 560-6522.

Contact Information

Primary practice address
101 E Wood St Ste 330 Spartanburg SC 29303-3040
Phone: (864) 560-6522
Fax: (888) 972-8644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN2669 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN2669 South Carolina

Profile Details

NPI number 1851373021
LBN Legal business name Waldenmaier, Kim
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Mar 27th, 2019 - about 5 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 1851373021 NPPES
North Carolina MEDICAID 7003918
North Carolina MEDICAID NP0915

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