KIMBERLY ANNE DEESE


Address: 2144 Everglades Pl, Davis, CA 95616-6628
Phone: 2103791765

KIMBERLY ANNE DEESE (NPI# 1083126239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083126239
Entity Type Individual
Full Name KIMBERLY ANNE DEESE
Credential RN
Practice Address 2144 Everglades Pl
Davis
CA 95616-6628
Practice Telephone 2103791765
Mailing Telephone 2103791765
Enumeration Date 2017-10-27
Last Update Date 2017-10-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1600X Registered Nurse
Specialization: Continuing Education/Staff Development
769224 CA Nursing Service Providers

Other Providers KIMBERLY DEESE

NPI Name Taxonomy Address Enumeration
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Office Location

Street Address 2144 EVERGLADES PL
City DAVIS
State CA
Zip Code 95616-6628

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Taxonomy Information

Taxonomy Code 163WC1600X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Continuing Education/Staff Development

Taxonomy Definition

Definition to come...

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1770083198 Tiffany Grace Monticino Registered Nurse 501 Washington St Ste 600, San Diego, CA 92103-2239 2018-02-13
1417394875 Angela F. Burrell Registered Nurse 5701 S Hoover St, Los Angeles, CA 90037-4045 2013-05-25
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Competitor

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City DAVIS
Zip Code 95616

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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