Healthcare Provider Details

I. General information

NPI: 1306820964
Provider Name (Legal Business Name): KIMBERLY FRENCH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: KIMBERLY SPRAGUE ARNP

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 61ST ST W
BRADENTON FL
34209-5528
US

IV. Provider business mailing address

2101 61ST ST W
BRADENTON FL
34209-5528
US

V. Phone/Fax

Practice location:
  • Phone: 941-761-4448
  • Fax: 941-761-0235
Mailing address:
  • Phone: 941-761-4448
  • Fax: 941-761-0235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP1845112
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: