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NPI Code Detail

MEDICARE: KIMBERLY B SNIFFEN CNM

MEDICARE: KIMBERLY B SNIFFEN CNM
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
1163W00000XRegistered Nurse162436NC
2176B00000XMidwife328NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1162436OTHERNCRN LICENSE
2328OTHERNCMIDWIFE LICENSE

General Provider Information

NPI Number : 1366406324
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY B SNIFFEN CNM
Provider Business Mailing Address
First Line : 88 VILCOM CIR STE 110
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-1660
Country : US
Telephone Number : 919-933-8194
Fax Number :
Provider Business Practice Location Address
First Line : 7228 MONCURE PITTSBORO RD
Second Line :
City : MONCURE
State : NC
Zip : 27559-9595
Country : US
Telephone Number : 919-542-4991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 01/11/2022

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Directions to “ KIMBERLY B SNIFFEN CNM” Practice Location

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