MEDICARE: DR. KIMBERLY TRISHELLE WESTON APN, FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	C-APN.0004688-C-NP	CO
2	363LF0000X	Family Nurse Practitioner	APRN11021486	FL

General Provider Information

NPI Number	:	1639790371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY TRISHELLE WESTON APN, FNP-BC

Provider Business Mailing Address
First Line	:	10730 OLD GROVE CIR
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34212-2605
Country	:	US
Telephone Number	:	813-997-1364
Fax Number	:

Provider Business Practice Location Address
First Line	:	10730 OLD GROVE CIR
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34212-2605
Country	:	US
Telephone Number	:	813-997-1364
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2020
Last Update Date	:	05/18/2026

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