Individual provider · Type 1 NPI

Kimberly Bridzeke Staton, APRN

Psychiatric/Mental Health Nurse Practitioner · Austin, TX

NPI number 1003396391 Active

Practice location

1201 E 7th St Ste 620
Austin, TX 78702-3222

Call (800) 370-3651 Map

Fax (877) 515-7147

Mailing address

55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP138337 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003396391

Kimberly Bridzeke Staton, APRN's National Provider Identifier is 1003396391, issued on Aug 16, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Austin, TX. The record was last updated on Aug 16, 2018.