Individual provider · Type 1 NPI
Kimberly Ellen Dore
Acute Care Nurse Practitioner · Staten Island, NY
NPI number
1568220754
Active
Practice location
87 Woodward Ave
Staten Island, NY 10314-6816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 432938 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1568220754
Kimberly Ellen Dore's National Provider Identifier is 1568220754, issued on Mar 12, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Staten Island, NY. The record was last updated on Mar 12, 2024.