Individual provider · Type 1 NPI
Kim Marie Redfearn, CRNP
Gerontology Nurse Practitioner · Accokeek, MD
NPI number
1861982936
Active
Practice location
18415 Garner Ln
Accokeek, MD 20607-3228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | R160299 (MD) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1861982936
Kim Marie Redfearn, CRNP's National Provider Identifier is 1861982936, issued on May 15, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Accokeek, MD. The record was last updated on May 15, 2018.