MRS. KIMBERLY EILEEN CREDLE RN BSN RD LD NPI 1154518256

NPI Information

NPI: 1154518256
Provider Name: MRS. KIMBERLY EILEEN CREDLE, RN, BSN, RD, LD
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
1230 BAXTER ST
ATHENS, GA
ZIP 30606
Phone: (706) 389-2150
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MRS. Kimberly Eileen Credle, RN, BSN, RD, LD is a diabetes educator registered nurse in Athens, GA. MRS. Kimberly Eileen Credle, RN, BSN, RD, LD NPI is 1154518256. 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:

1230 BAXTER ST
ATHENS, GA
ZIP 30606-712
Phone: (706) 389-2150
Fax: (706) 389-2151

The enumeration date for this NPI number is 10/2/2007 and was last updated on 10/2/2007.

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	133V00000X	Dietitian, Registered		LD002413	GEORGIA	No
2	163WD0400X	Registered Nurse	Diabetes Educator	RN185977	GEORGIA	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: 4/28/2024

NPI Synchronization or Removal

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