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NPI Code Detail

MEDICARE: MS. KIMBERLY MICHELLE HASTINGS FNP

MEDICARE:  MS. KIMBERLY MICHELLE HASTINGS  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 PractitionerAP133991TX

General Provider Information

NPI Number : 1407383748
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY MICHELLE HASTINGS FNP
Provider Business Mailing Address
First Line : 101 HEDGEROW LN
Second Line :
City : LIBERTY HILL
State : TX
Zip : 78642-4474
Country : US
Telephone Number : 512-466-9660
Fax Number :
Provider Business Practice Location Address
First Line : 9301 ELM GROVE CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78736-7716
Country : US
Telephone Number : 512-466-9660
Fax Number : 512-466-9660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2017
Last Update Date : 02/04/2026

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Directions to “ MS. KIMBERLY MICHELLE HASTINGS FNP” Practice Location

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