Manning-Maestas, Kimberlee Ann

Manning-Maestas, Kimberlee Ann is an individual health care provider with primary practice located at 10000 Bay Pines Blvd Suite 112 , Bay Pines FL 33744. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Manning-Maestas, Kimberlee Ann can be contacted via phone (727) 398-6661.

Contact Information

Primary practice address
10000 Bay Pines Blvd Suite 112 Bay Pines FL 33744
Phone: (727) 398-6661
Fax: (505) 262-7371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP00875 New Mexico

Profile Details

NPI number 1467486662
LBN Legal business name Manning-Maestas, Kimberlee Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Sep 13th, 2023 - about 3 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 1467486662 NPPES
New Mexico MEDICAID 22106367

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