Individual provider · Type 1 NPI
Kimberly D. Wiersma, ACNP-BC
Acute Care Nurse Practitioner · Lake Forest, IL
NPI number
1255674016
Active
Practice location
660 N Westmoreland Rd, Women's Center, Suite 100
Lake Forest, IL 60045-1659
Fax (847) 535-7285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209004179 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1255674016
Kimberly D. Wiersma, ACNP-BC's National Provider Identifier is 1255674016, issued on Mar 30, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Lake Forest, IL. The record was last updated on Mar 30, 2013.