Individual provider · Type 1 NPI

Kimberlee Ann Clark-Raby, A.G.N.P.-BC

Adult Health Nurse Practitioner · Roseville, CA

NPI number 1356580906 Active

Practice location

1161 Cirby Way
Roseville, CA 95661-4421

Mailing address

3001 Douglas Blvd, #150
Roseville, CA 95661-3851

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X21308 (CA)
Gerontology Nurse Practitioner 363LG0600X21308 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1356580906

Kimberlee Ann Clark-Raby, A.G.N.P.-BC's National Provider Identifier is 1356580906, issued on Feb 5, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Roseville, CA. The record was last updated on Nov 20, 2014.