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NPI Code Detail

MEDICARE: KIMBERLY ANN BLUFF FNP

MEDICARE: KIMBERLY ANN BLUFF FNP
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 Practitioner18615CA

General Provider Information

NPI Number : 1215173653
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANN BLUFF FNP
Provider Business Mailing Address
First Line : 39000 BOB HOPE DR
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3202
Country : US
Telephone Number : 760-773-2038
Fax Number : 760-674-3857
Provider Business Practice Location Address
First Line : 39000 BOB HOPE DR
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3202
Country : US
Telephone Number : 760-773-2038
Fax Number : 760-674-3857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2009
Last Update Date : 04/14/2026

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