MEDICARE: KIMBERLY A SCHNURBUSCH APRN, ACNP-BC, FNP-C

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	GAA-NP003391	GA
2	363LF0000X	Family Nurse Practitioner	0038040	OH
3	363LF0000X	Family Nurse Practitioner	2025002556	MO
4	363LF0000X	Family Nurse Practitioner	86970	NM
5	363LF0000X	Family Nurse Practitioner	5007185	NC
6	363LF0000X	Family Nurse Practitioner	1191270	TX
7	363LF0000X	Family Nurse Practitioner	37998	TN
8	363LF0000X	Family Nurse Practitioner	3-002662	AL
9	363LF0000X	Family Nurse Practitioner	APRN9267258	FL
10	363LF0000X	Family Nurse Practitioner	321686	AZ
11	363LF0000X	Family Nurse Practitioner	29897	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5007185	OTHER	NC	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700103512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY A SCHNURBUSCH APRN, ACNP-BC, FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 211699
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55121-3699
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 HOWELL MILL RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-5557
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

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

Provider Enumeration Date	:	05/03/2010
Last Update Date	:	12/08/2025

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