Kimberly Estep, RN

Individual provider Active NPI Administrator Registered Nurse · Sheridan, WY

NPI 1104692011 · NPPES record last updated Dec 1, 2023

Key facts

NPI
1104692011
Entity type
Individual (NPI type 1)
Primary specialty
Administrator Registered Nurse 163WA2000X
License
35312 (WY)
Practice address
854 Delphi Ave
Sheridan, WY 82801-2822
Phone
(260) 442-9862
NPI assigned
Dec 1, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
35312WYMDAdministrator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 35312 WY
Administrator Registered Nurse 163WA2000X 35312 WY Yes

Addresses

Primary practice location

854 Delphi Ave
Sheridan, WY 82801-2822

Mailing address

854 Delphi Ave
Sheridan, WY 82801-2822
Phone (260) 442-9862

Other providers in Sheridan, WY

All providers in Sheridan, WY · Administrator Registered Nurse in Wyoming

Sources for this page

Verify at the official NPI Registry.