MS. KIMBERLY DARLENE EADIE NP-C NPI 1952630451

NPI Information

MS. Kimberly Darlene Eadie, NP-C is a primary care nurse practitioner in Ocoee, FL with 15 years of experience. MS. Kimberly Darlene Eadie, NP-C NPI is 1952630451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

10101 W COLONIAL DR STE 102
OCOEE, FL
ZIP 34761-213
Phone: (407) 895-9060

The NPI 1952630451 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/11/2009 and was last updated on 9/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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