Individual provider · Type 1 NPI

Kimberly Stoutenburg

Registered Nurse · Canandaigua, NY

NPI number 1073779385 Active

Practice location

5297 Parkside Dr
Canandaigua, NY 14424-7504

Call (585) 394-6090 Map

Mailing address

12 Glenbrook Dr
Fairport, NY 14450-2238

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	260768 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1073779385

Kimberly Stoutenburg's National Provider Identifier is 1073779385, issued on Aug 6, 2008. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Canandaigua, NY. The record was last updated on Aug 6, 2008.