Healthcare Provider Details

I. General information

NPI: 1053552117
Provider Name (Legal Business Name): KIMBERLY ANN TEXLEY-QUIGG N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY ANN TEXLEY N.P.

II. Dates (important events)

Enumeration Date: 03/18/2009
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 MICHIGAN ST NE
GRAND RAPIDS MI
49503-2562
US

IV. Provider business mailing address

100 MICHIGAN ST NE MC 845
GRAND RAPIDS MI
49503-2560
US

V. Phone/Fax

Practice location:
  • Phone: 616-486-6333
  • Fax: 616-486-6399
Mailing address:
  • Phone: 616-486-6333
  • Fax: 616-486-6399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number4704124474
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: