Anderson, Kimberly Lynn

Anderson, Kimberly Lynn is an individual health care provider with primary practice located at 3070 Skyway Dr Ste 106 , Santa Maria CA 93455-1830. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Anderson, Kimberly Lynn can be contacted via phone (805) 922-8282.

Contact Information

Primary practice address
3070 Skyway Dr Ste 106 Santa Maria CA 93455-1830
Phone: (805) 922-8282
Fax: (844) 278-8613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 17205 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 30006873 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 910 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP117527 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5009812 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP117527 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17205 California

Profile Details

NPI number 1851308191
LBN Legal business name Anderson, Kimberly Lynn
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Nov 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851308191 NPPES
California Other 17205 CALIFORNIA BON NURSE PRACTITIONER FURNISHER
California Other AP30006873 CALIFORNIA BON NURSE PRACTITIONER FURNISHER
California Other 5009812 CALIFORNIA BON NURSE PRACTITIONER FURNISHER
California Other RN00151283 CALIFORNIA BON NURSE PRACTITIONER FURNISHER
California Other 12650825 CALIFORNIA BON NURSE PRACTITIONER FURNISHER
California Other 17205 CALIFORNIA BON NURSE PRACTITIONER FURNISHER
California MEDICAID 1023099 CALIFORNIA BON NURSE PRACTITIONER FURNISHER
California Other 5009812 CALIFORNIA BON NURSE PRACTITIONER FURNISHER
California Other 9087 CALIFORNIA BON NURSE PRACTITIONER FURNISHER
California Other AP117527 CALIFORNIA BON NURSE PRACTITIONER FURNISHER

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