KIMBERLY MARIE VISINTINE DNP APRN FNP NPI 1104410166

NPI Information

NPI: 1104410166
Provider Name: KIMBERLY MARIE VISINTINE, DNP, APRN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6315 CRAB APPLE ST
CLARKSTON, MI
ZIP 48346
Phone: (248) 207-0206
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Kimberly Marie Visintine, DNP, APRN, FNP is a family nurse practitioner in Clarkston, MI with 4 years of experience. Kimberly Marie Visintine, DNP, APRN, FNP NPI is 1104410166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6315 CRAB APPLE ST
CLARKSTON, MI
ZIP 48346-617
Phone: (248) 207-0206

The NPI 1104410166 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 2/21/2021 and was last updated on 2/21/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F02210892	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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