Individual provider · Type 1 NPI
Kimberly Caceres
Family Nurse Practitioner · Burbank, IL
NPI number
1376189415
Active
Practice location
8308 Lockwood Ave
Burbank, IL 60459-2648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041360580 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209020540 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376189415
Kimberly Caceres's National Provider Identifier is 1376189415, issued on Nov 25, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Burbank, IL. The record was last updated on Nov 28, 2019.