Individual provider · Type 1 NPI
Kimberly Diane Rieker
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1407747058
Active
Practice location
111 S 11th St
Philadelphia, PA 19107-4870
Mailing address
9232 Wesleyan Rd
Philadelphia, PA 19114-3815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP033467 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1407747058
Kimberly Diane Rieker's National Provider Identifier is 1407747058, issued on Jul 11, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 30, 2025.