Healthcare Provider Details

I. General information

NPI: 1417911694
Provider Name (Legal Business Name): KIMBERLY STRICKLAND ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 S ATHERTON ST
STATE COLLEGE PA
16801-8324
US

IV. Provider business mailing address

1800 E PARK AVE
STATE COLLEGE PA
16803-6701
US

V. Phone/Fax

Practice location:
  • Phone: 814-466-7921
  • Fax: 814-466-6570
Mailing address:
  • Phone: 814-231-7000
  • Fax: 814-238-0790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP029162
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP1541072
License Number StateFL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: