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NPI Code Detail

MEDICARE: KIMBERLY DAWN ENGELMAN FNP-BC

MEDICARE:   KIMBERLY DAWN ENGELMAN  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner741333TX

General Provider Information

NPI Number : 1417371873
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY DAWN ENGELMAN FNP-BC
Provider Business Mailing Address
First Line : 411 TOWER DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-2819
Country : US
Telephone Number : 512-799-1912
Fax Number :
Provider Business Practice Location Address
First Line : 414 NAVARRO ST STE 1200
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78205-2501
Country : US
Telephone Number : 210-226-5420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2014
Last Update Date : 02/05/2014

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Directions to “ KIMBERLY DAWN ENGELMAN FNP-BC” Practice Location

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