Doctor Name: | KIMBERLY A SCHNURBUSCH |
NPI Number: | 1700103512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, ACNP-BC, FNP-C |
License Number: | 5007185 |
Business Practice Address: | 201 N Breazeale Ave Mount Olive, NC - 283651603 |
Business Phone Number: | 9196584954 |
Business Fax Number: | 9195814966 |
Mailing Address: | 201 N Breazeale Ave, MOUNT OLIVE |
State: | NC |
Postal Code: | 283651603 |
Phone Number: | 9196584954 |
Fax Number: | 9195814966 |
NPI Enumeration Date: | 05/03/2010 |
NPI Last Update Date: | 11/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5007185 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |