Healthcare Provider Details

I. General information

NPI: 1366406324
Provider Name (Legal Business Name): KIMBERLY B SNIFFEN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 01/11/2022
Certification Date: 01/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7228 MONCURE PITTSBORO RD
MONCURE NC
27559-9595
US

IV. Provider business mailing address

88 VILCOM CIR STE 110
CHAPEL HILL NC
27514-1660
US

V. Phone/Fax

Practice location:
  • Phone: 919-542-4991
  • Fax:
Mailing address:
  • Phone: 919-933-8194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number162436
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number328
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: