Doctor Name: | MRS. KIMBERLY ANN SPERBER |
NPI Number: | 1023412228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC MSN NNP |
License Number: | 0024172069 |
Business Practice Address: | 1333 Archway Rd Blue Ridge, VA - 240642138 |
Business Phone Number: | 5405972982 |
Business Fax Number: | |
Mailing Address: | 1333 Archway Rd, BLUE RIDGE |
State: | VA |
Postal Code: | 240642138 |
Phone Number: | 5405972982 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2014 |
NPI Last Update Date: | 10/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0005X |
License Number: | 0024172069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal, Critical Care |
Taxonomy Definition: |