Individual provider · Type 1 NPI

Kimberly Fazenbaker, NP

Student in an Organized Health Care Education/Training Program · Cumberland, MD

NPI number 1134026602 Active

Practice location

1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331

Mailing address

853 Saint Johns Rock Rd
Frostburg, MD 21532-4320

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134026602

Kimberly Fazenbaker, NP's National Provider Identifier is 1134026602, issued on Oct 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cumberland, MD. The record was last updated on Oct 20, 2026.