Individual provider · Type 1 NPI
Prisca Kim
Family Nurse Practitioner · San Bernardino, CA
NPI number
1063233641
Active
Practice location
375 W Hospitality Ln
San Bernardino, CA 92408-3203
Mailing address
12855 Maryland Ave
Eastvale, CA 92880-6200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95031605 (CA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1063233641
Prisca Kim's National Provider Identifier is 1063233641, issued on Oct 17, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Bernardino, CA. The record was last updated on Oct 17, 2024.